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Organization

UNIVERSITY OF SOUTH ALABAMA

Active
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Organization

UNIVERSITY OF SOUTH ALABAMA

Active
Other names
USA Student Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY KELLEN (PRACTICE DIRECTOR)
(251) 460-7681
Entity
Organization

Contact information

Practice address
5870 ALUMNI CIR, MOBILE, AL 36688-0001
(251) 460-7151
(251) 414-8227
Mailing address
5870 ALUMNI CIR, MOBILE, AL 36688-0001
(251) 460-7151
(251) 414-8227

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
06/10/2006
Last updated
08/23/2016
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