Provider Demographics
NPI:1962467142
Name:SNELL, BILLIE KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:BILLIE
Middle Name:KAY
Last Name:SNELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BAY ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5181
Mailing Address - Country:US
Mailing Address - Phone:256-543-2894
Mailing Address - Fax:256-543-8185
Practice Address - Street 1:501 BAY ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5181
Practice Address - Country:US
Practice Address - Phone:256-543-2894
Practice Address - Fax:256-543-8185
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12914208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL00016153Medicaid
AL00016153Medicaid