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Individual

DR. KEVIN SCOTT SAUCIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5955 AIRPORT BLVD, MOBILE, AL 36608
(251) 633-0573
(251) 633-7367
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-4853

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
11376
AL
207RP1001X
Pulmonary Disease Physician
Primary
11376
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00115986
MS MEDICAID
MS
01
102I293606
MEDICARE PTAN
AL
01
1197926
UHC
AL
05
212076
AL
05
212873
AL
05
239125
AL
01
290004601
RR MEDICARE
AL
01
4006740
AETNA
AL
01
510-13222
BCBS
AL
01
512-05843
BCBS
AL
01
512-05844
BCBS
AL
01
512-30049
BCBS OF AL
AL
01
6140743
CIGNA HC
AL
01
C74027
VIVA HEALTH
AL
Enumeration date
12/16/2005
Last updated
03/19/2024
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