KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE NPI 1154810224

NPI Information

KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE is an adolescent medicine pediatrics in Talladega, AL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE NPI is 1154810224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL
ZIP 35160-106
Phone: (256) 268-7775

The provider's authorized official is Muhammed Khurram Siddiqui .
The authorized official title is Owner and has the following contact phone number (256) 268-7775.

The CLIA number assigned to this NPI record is 01D2148957 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 9/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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