Outlaw, Kitti K
Outlaw, Kitti K is an individual health care provider with primary practice located at 3715 Dauphin St Ste 6A , Mobile AL 36608-1774. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Outlaw, Kitti K can be contacted via phone (251) 414-1333.Contact Information
Primary practice address
3715 Dauphin St Ste 6A
Mobile AL 36608-1774
Phone: (251) 414-1333
Fax: (351) 414-3006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 00018171 | Alabama |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 00018171 | Alabama |
Profile Details
| NPI number | 1265435382 |
|---|---|
| LBN Legal business name | Outlaw, Kitti K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265435382 | NPPES |
| Alabama | Other | 51519924 | BC/BS |
| Alabama | MEDICAID | 009937160 | BC/BS |
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