# UNIVERSITY OF SOUTH ALABAMA

> 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
- **Other names:** USA Student Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992746838
- **Authorized official:** BEVERLY KELLEN (PRACTICE DIRECTOR)
- **Authorized official phone:** (251) 460-7681

## Contact information

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

## Taxonomy

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