Kitti K Outlaw in Mobile - Plastic And Reconstructive Surgery
Kitti K Outlaw - NPI 1265435382
Kitti K Outlaw is a Plastic And Reconstructive Surgery in Mobile, Alabama. Kitti K Outlaw practices all healthcare services and medical treatments related to Plastic And Reconstructive 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 And Reconstructive Surgery |
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Taxonomy | 2086S0122X |
Licence No | 18171 |
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
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 And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
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.