DR KEITH DISMUKES L.L.C. NPI 1801161138

NPI Information

  • NPI: 1801161138
  • Provider Name: DR KEITH DISMUKES L.L.C.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 01D0683115
  • Address: 202 US HIGHWAY 80 E
    DEMOPOLIS, AL
    ZIP 36732
  • Phone: (334) 289-0499

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NPI Details

DR KEITH DISMUKES L.L.C. is a primary care clinic center in Demopolis, AL. DR KEITH DISMUKES L.L.C. NPI is 1801161138. The provider is registered as an organization entity type.

The provider's business location address is:

202 US HIGHWAY 80 E
DEMOPOLIS, AL
ZIP 36732-622
Phone: (334) 289-0499
Fax: (334) 289-3013

The provider's authorized official is Lauri Anne Cameron .
The authorized official title is Asst. Office Manager and has the following contact phone number (334) 287-2584.

The CLIA number assigned to this NPI record is 01D0683115 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2012 and was last updated on 3/20/2012.

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
1261QP2300XClinic/CenterPrimary CareAD7121724ALABAMAYes

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: 11/21/2025

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