KITTI K. OUTLAW M.D. P.C. NPI 1356538961

NPI Information

NPI: 1356538961
Provider Name: KITTI K. OUTLAW, M.D., P.C.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

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

KITTI K. OUTLAW, M.D., P.C. is a plastic and reconstructive surgery surgery in Mobile, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. KITTI K. OUTLAW, M.D., P.C. NPI is 1356538961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Kitti K Outlaw .
The authorized official title is President Owner and has the following contact phone number (251) 414-1333.

The enumeration date for this NPI number is 9/27/2007 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	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	009937160	MEDICAID	ALABAMA
2	0005234470	OTHER	ALABAMA	AETNA
3	051519924	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
4	46679	OTHER	ALABAMA	HEALTHSPRING
5	1710551	OTHER		UNITEDHEALTH CARE
6	1310551	OTHER	ALABAMA	SECURE HORIZONS

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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