# KIDSXPRESS URGENT CARE LAKESHORE LLC

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

## Provider details

- **NPI number:** 1568141588
- **Authorized official:** FELICIA FORTUNE (OWNER)
- **Authorized official phone:** (205) 914-2783

## Contact information

- **Practice address:** 2874 LAKESHORE PARKWAY, BIRMINGHAM, AL 35211
- **Practice address phone:** (205) 292-2428
- **Mailing address:** PO BOX 440, COTTONDALE, AL 35453-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | Yes |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2023
- **Last updated:** 07/17/2023