Provider Demographics
NPI:1972746493
Name:MIZERANY, KRISTIN FLOWERS (MD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:FLOWERS
Last Name:MIZERANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3401 INDEPENDENCE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5662
Mailing Address - Country:US
Mailing Address - Phone:205-870-1273
Mailing Address - Fax:
Practice Address - Street 1:3401 INDEPENDENCE DR STE 111
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5662
Practice Address - Country:US
Practice Address - Phone:205-870-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALMD.31849208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program