Individual provider · Type 1 NPI

Kevin Michael Conrad Jr., MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1609626555 Active

Practice location

1802 6th Ave S
Birmingham, AL 35233-1932

Mailing address

5 New Basin Way
New Orleans, LA 70124-2496

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Otolaryngology Physician 207Y00000X0000000 (AL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609626555

Kevin Michael Conrad Jr., MD's National Provider Identifier is 1609626555, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Apr 8, 2024.