Individual provider · Type 1 NPI

Madison Mae Kouba, DO

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

NPI number 1700721255 Active

Practice location

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Call (205) 971-1000 Map

Mailing address

2712 Crandall Ct
Birmingham, AL 35243-4443

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1700721255

Madison Mae Kouba, DO's National Provider Identifier is 1700721255, issued on Apr 21, 2026. 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 Jun 8, 2026.