Individual
KENDALL SAWYER DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD STE D330, MOBILE, AL 36608-6758
(251) 607-9797
(251) 607-7696
Mailing address
6701 AIRPORT BLVD STE D330, MOBILE, AL 36608-6758
(251) 607-9797
(251) 607-7696
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
309551
LA
207RC0000X
Cardiovascular Disease Physician
Primary
42416
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2015
Last updated
04/19/2021
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