Active NPI
Kibun Health PLLC
- Clinic/Center
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KIBUN HEALTH PLLC
- Practice address
- 2236 Cahaba Valley Dr Ste 206a
Birmingham, AL 35242-2625 - Phone
- (205) 583-6661
- NPI assigned
- May 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip Smith
- Title
- Dir.
- Phone
- (205) 583-6661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2236 Cahaba Valley Dr Ste 206a
Birmingham, AL 35242-2625
Mailing address
PO Box 18957
Charlotte, NC 28218-0957
Other practice location 1
4108 Park Rd Ste 321
Charlotte, NC 28209-2259
Phone (205) 583-6661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, SC, NC
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
2236 Cahaba Valley Dr
Ste 206A
Birmingham, AL 35242
Phone (205) 583-6661
4108 Park Rd
Ste 321
Charlotte, NC 28209
Phone (205) 583-6661
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1811688021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18957",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282180957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 CAHABA VALLEY DR STE 206A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352422625",
"telephone_number": "205-583-6661"
}
],
"practiceLocations": [
{
"address_1": "4108 Park Rd Ste 321",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282092259",
"country_code": "US",
"telephone_number": "205-583-6661",
"fax_number": "617-362-2499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIBUN HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-18",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "DIR.",
"authorized_official_telephone_number": "205-583-6661"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.