NPI 1245256494

Healthykids of Gardendale

Organisation Preferred Provider Organization Gardendale, AL

Practice location

Address: 1127 Pecan Ave Suite 100, Gardendale, AL 35071-2543
Phone: (205) 608-2055
Fax: (205) 608-2045

Authorised official

Name: Patricia Kay Harris
Title: President/Owner
Phone: (205) 608-2055

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 00023211 (AL)

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Registry record

NPI: 1245256494
Entity type: Organization
NPI issued: 14 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.