Basic Information
Provider Information
NPI: 1063622363
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CLARY
FirstName: KATHRYN
MiddleName: DRABIK
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 AIRPARK CENTER DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372175200
CountryCode: US
TelephoneNumber: 6152214400
FaxNumber:  
Practice Location
Address1: 2010 BROOKWOOD MEDICAL CTR DR
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352096804
CountryCode: US
TelephoneNumber: 2057771000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2007
LastUpdateDate: 10/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X26352ALY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


Home