Kimberly Louise Prevo

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

T4A7X7Z9 Issued in AL

Practice address

200 Beacon Pkwy W Ste 108
Birmingham, AL 35209-3102

Phone

(205) 521-1927

NPI assigned

Nov 3, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1225801970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W STE 108",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-521-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W STE 108",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-521-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVO",
        "first_name": "KIMBERLY",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "AL",
            "license": "T4A7X7Z9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G Preston, M.D.
• Tracy Hartselle Preston, LPTA
• Richard Irving Preus III
• O'Brien Buckner Prevatte, CRNA
• Preventric Diagnostics, LLC
• Ella Raye Prewett
• Francesca Maria Prewitt, DO
• Scott T. Prewitt, C.R.N.A.
• Tammy Sue Prewitt, RN
• Amy Daniel Pribyl

• Clinical Pathology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Pathology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.