Kelly Lyles McMillian, M.D.
Pediatrics in Birmingham, AL. Individual provider (NPI-1).
NPI number1760626113
StatusActive
Last updated in NPPESJan 4, 2016
Details
- NPI
- 1760626113
- Entity type
- Individual (NPI-1)
- Name
- Kelly Lyles McMillian
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2009
- Last updated
- Jan 4, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 30655 | AL | Yes |
Practice location
101 Eagle Ridge DrBirmingham, AL 35242-5319
Phone 205-995-1004 · Fax 205-991-6075
Mailing address
101 Eagle Ridge DrBirmingham, AL 35242-5319
Phone 205-995-1004 · Fax 205-991-6075
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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