Organization
KITTI K. OUTLAW, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KITTI K OUTLAW MD (PRESIDENT OWNER)
(251) 414-1333
Entity
Organization
Contact information
Practice address
3715 DAUPHIN ST STE 6A, MOBILE, AL 36608-1774
(251) 414-1333
(251) 414-3006
Mailing address
3715 DAUPHIN ST STE 6A, MOBILE, AL 36608-1774
(251) 414-1333
(251) 414-3006
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
00018171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005234470
AETNA
AL
05
—
009937160
—
AL
01
—
051519924
BLUE CROSS BLUE SHIELD
AL
01
—
1310551
SECURE HORIZONS
AL
01
—
1710551
UNITEDHEALTH CARE
—
01
—
46679
HEALTHSPRING
AL
Enumeration date
09/27/2007
Last updated
03/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us