Provider Demographics
NPI:1487829016
Name:STEVEN W. KINSEY, MD,PC
Entity Type:Organization
Organization Name:STEVEN W. KINSEY, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-970-1948
Mailing Address - Street 1:1668 N PINE ST
Mailing Address - Street 2:P.O. BOX 2065
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2220
Mailing Address - Country:US
Mailing Address - Phone:251-970-1948
Mailing Address - Fax:251-970-1593
Practice Address - Street 1:1668 N PINE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2220
Practice Address - Country:US
Practice Address - Phone:251-970-1948
Practice Address - Fax:251-970-1593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD26920208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty