Organization
DAVID B. KEDDY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B KEDDY M.D. (OWNER)
(251) 961-1611
Entity
Organization
Contact information
Practice address
12831 6TH ST, SUITE H, LILLIAN, AL 36549-4166
(251) 961-1611
(251) 961-1613
Mailing address
12831 6TH ST, SUITE H, LILLIAN, AL 36549-4166
(251) 961-1611
(251) 961-1613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15496
AL
207Q00000X
Family Medicine Physician
Primary
15496
AL
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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