Provider Demographics
NPI:1235367038
Name:MCINTOSH, KEVIN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:DAVID
Last Name:MCINTOSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 CHATEAU DR SW STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3497
Mailing Address - Country:US
Mailing Address - Phone:256-881-9997
Mailing Address - Fax:256-880-3838
Practice Address - Street 1:250 CHATEAU DR SW STE 100
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-881-9997
Practice Address - Fax:256-880-3838
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2018-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME116795207V00000X
ALMD.35071207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology