# DAVID B. KEDDY, M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063719474
- **Authorized official:** DAVID B KEDDY M.D. (OWNER)
- **Authorized official phone:** (251) 961-1611

## Contact information

- **Practice address:** 12831 6TH ST, SUITE H, LILLIAN, AL 36549-4166
- **Practice address phone:** (251) 961-1611
- **Practice address fax:** (251) 961-1613
- **Mailing address:** 12831 6TH ST, SUITE H, LILLIAN, AL 36549-4166
- **Mailing address phone:** (251) 961-1611
- **Mailing address fax:** (251) 961-1613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 15496 | AL | — |
| 207Q00000X | Family Medicine Physician | 15496 | AL | Yes |

## Other

- **Enumeration date:** 02/21/2011
- **Last updated:** 02/21/2011