Provider Demographics
NPI:1235189895
Name:KAUL, DOUGLAS ROY (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ROY
Last Name:KAUL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 DOWNTOWNER BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5403
Mailing Address - Country:US
Mailing Address - Phone:251-341-1211
Mailing Address - Fax:251-414-5104
Practice Address - Street 1:801 DOWNTOWNER BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5403
Practice Address - Country:US
Practice Address - Phone:251-341-1211
Practice Address - Fax:251-414-5104
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL350044764OtherRAILROAD MEDICARE
AL510-76608OtherBLUE CROSS/BLUE SHIELD
AL44-10044OtherUNITED HEALTHCARE
AL44-10044OtherUNITED HEALTHCARE
ALT68472Medicare UPIN