Provider Demographics
NPI:1568557502
Name:ALABAMA FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:ALABAMA FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:CODY
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:334-213-3606
Mailing Address - Street 1:370 ST. LUKES DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117
Mailing Address - Country:US
Mailing Address - Phone:334-213-3606
Mailing Address - Fax:334-213-3608
Practice Address - Street 1:370 ST. LUKES DRIVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117
Practice Address - Country:US
Practice Address - Phone:334-213-3606
Practice Address - Fax:334-213-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13088207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL28802OtherBLUE CROSS DR. MARK LINDS
AL000026378Medicaid
AL0110087OtherUNITED DR. MARK LINDSEY
AL26378OtherBLUE CROSS DR. KATHY LIND
AL0110067OtherUNITED DR. KATHY LINDSEY
AL28802OtherBLUE CROSS DR. MARK LINDS
AL000026378Medicaid
AL0110067OtherUNITED DR. KATHY LINDSEY
ALE90055Medicare UPIN
AL00028802Medicare ID - Type UnspecifiedDR. MARK LINDSEY