Individual
DR. KATHLEEN T. SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E 15TH AVE, GULF SHORES, AL 36542-3501
(251) 962-1250
(251) 967-7832
Mailing address
101 E 15TH AVE, GULF SHORES, AL 36542-3501
(251) 949-3479
(251) 949-3434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.15964
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240446
—
AL
Enumeration date
11/17/2005
Last updated
02/07/2023
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