# KITTI K. OUTLAW, M.D., P.C.

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

## Provider details

- **NPI number:** 1356538961
- **Authorized official:** DR. KITTI K OUTLAW MD (PRESIDENT OWNER)
- **Authorized official phone:** (251) 414-1333

## Contact information

- **Practice address:** 3715 DAUPHIN ST STE 6A, MOBILE, AL 36608-1774
- **Practice address phone:** (251) 414-1333
- **Practice address fax:** (251) 414-3006
- **Mailing address:** 3715 DAUPHIN ST STE 6A, MOBILE, AL 36608-1774
- **Mailing address phone:** (251) 414-1333
- **Mailing address fax:** (251) 414-3006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 00018171 | AL | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 03/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005234470 | AETNA | AL |
| 05 | — | 009937160 | — | AL |
| 01 | — | 051519924 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 1310551 | SECURE HORIZONS | AL |
| 01 | — | 1710551 | UNITEDHEALTH CARE | — |
| 01 | — | 46679 | HEALTHSPRING | AL |