Roman, Kimberly Waynette

Roman, Kimberly Waynette is an individual health care provider with primary practice located at 1924C Dauphin Island Pkwy , Mobile AL 36605-3004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Roman, Kimberly Waynette can be contacted via phone (251) 476-5733.

Contact Information

Primary practice address
1924C Dauphin Island Pkwy Mobile AL 36605-3004
Fax: (251) 470-7249
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.38543 Alabama
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 38543 Alabama

Profile Details

NPI number 1104893817
LBN Legal business name Roman, Kimberly Waynette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104893817 NPPES
Alabama MEDICAID 239328

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