Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 22153 | AL |
NPI | 1023033917 |
---|---|
Provider Name | Kenneth G Saag |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 07/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000008019 | (05) | AL |
000008019 | BLUE CROSS (01) | AL |
000011744 | (05) | AL |
000011744 | BLUE CROSS (01) | AL |
051008019 | BLUE CROSS (01) | AL |
051011744 | BLUE CROSS (01) | AL |
12780 | HEALTHSPRING OF ALABAMA (01) | AL |
1413607 | EMERGENCY LA MEDICAID (01) | LA |
42839 | HEALTHSPRING OF ALABAMA (01) | AL |
E19280 | VIVA (01) | AL |