DR. KITTI K OUTLAW MD NPI 1265435382

NPI Information

NPI: 1265435382
Provider Name: DR. KITTI K OUTLAW, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
3715 DAUPHIN ST STE 6A
MOBILE, AL
ZIP 36608
Phone: (251) 414-1333
Get Directions

DR. Kitti K Outlaw, MD is a plastic and reconstructive surgery surgery in Mobile, AL with 31 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Kitti K Outlaw, MD NPI is 1265435382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1993

The provider's business location address is:

3715 DAUPHIN ST STE 6A
MOBILE, AL
ZIP 36608-774
Phone: (251) 414-1333
Fax: (351) 414-3006

The NPI 1265435382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 3/4/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		00018171	ALABAMA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	00018171	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51519924	OTHER	ALABAMA	BC/BS
2	009937160	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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