Kitti K Outlaw is a Plastic Surgery in Mobile, Alabama. Kitti K Outlaw practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Kitti K Outlaw is 1265435382. The last update date is 2019-03-04.
Kitti K Outlaw's current location address is 3715 Dauphin St Ste 6a, Mobile, Alabama. You can contact this provider via phone number 2514141333 and fax number 3514143006. The mailing address for Kitti K Outlaw is 3715 Dauphin St Ste 6a, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kitti K Outlaw |
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Address | 3715 Dauphin St Ste 6a, Mobile, Alabama |
Phone Number | 2514141333 |
Fax Number | 3514143006 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1265435382 |
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Provider Enumeration Date | 2005-05-23 |
Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
Address | 3715 Dauphin St Ste 6a |
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City | Mobile |
State | Alabama (AL) |
Post Code | 3660817740 |
Phone Number | 2514141333 |
Fax Number | 3514143006 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
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Taxonomy | 208200000X |
Licence No | 18171 |
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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51519924 | AL | BC/BS | |
9937160 | AL | -- |
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Where is the Kitti K Outlaw located?
The Kitti K Outlaw is located at 3715 Dauphin St Ste 6A, Mobile, AL 3660817740.
Could you please provide the complete physical location address of Kitti K Outlaw?
The Kitti K Outlaw is physically situated at 3715 Dauphin St Ste 6A, in the city of Mobile, state of AL, with the postal code 3660817740.
What is the Kitti K Outlaw's specialty and taxonomy code?
The Kitti K Outlaw's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
When was the Kitti K Outlaw's 1265435382 issued?
The Kitti K Outlaw's 1265435382 was issued on 2005-05-23.
When was the Kitti K Outlaw's information last updated?
The Kitti K Outlaw's information was last updated on 2019-03-04.