Individual
DR. KITTI K OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 DAUPHIN ST STE 6A, MOBILE, AL 36608-1774
(251) 414-1333
(351) 414-3006
Mailing address
3715 DAUPHIN ST STE 6A, MOBILE, AL 36608-1774
(251) 414-1333
(351) 414-3006
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
00018171
AL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
00018171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937160
—
AL
01
—
51519924
BC/BS
AL
Enumeration date
05/23/2005
Last updated
03/04/2019
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