Organization
KEVIN A COADY FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANDREW COADY MD (PRESIDENT)
(334) 365-2217
Entity
Organization
Contact information
Practice address
461 E MAIN ST, PRATTVILLE, AL 36067-3409
(334) 365-2217
(334) 361-7975
Mailing address
PO BOX 680186, PRATTVILLE, AL 36068-0186
(334) 365-2217
(334) 361-7975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21360
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009950405
—
AL
01
—
51521352
BCBS ALABAMA
—
Enumeration date
11/29/2005
Last updated
01/15/2010
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