# SOUTH SHELBY FAMILY MEDICINE, PC

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

## Provider details

- **NPI number:** 1467497875
- **Authorized official:** KENT T KANATANI MD (OWNER)
- **Authorized official phone:** (205) 492-9313

## Contact information

- **Practice address:** 1022 1ST ST N, SUITE 302, ALABASTER, AL 35007-8706
- **Practice address phone:** (205) 663-4009
- **Practice address fax:** (205) 663-9966
- **Mailing address:** PO BOX 584, ALABASTER, AL 35007-2045
- **Mailing address phone:** (205) 492-9313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/26/2022