Provider Demographics
NPI:1982658159
Name:SAVELLS, KATHERINE L (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:SAVELLS
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:PO BOX 91899
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36691-1899
Mailing Address - Country:US
Mailing Address - Phone:251-706-8170
Mailing Address - Fax:251-706-8098
Practice Address - Street 1:1835 OLD SHELL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3416
Practice Address - Country:US
Practice Address - Phone:251-706-8170
Practice Address - Fax:251-706-8098
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26588208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51531617OtherBCBS
AL12-00562OtherUNITED HEALTHCARE
FL274761800Medicaid
AL51531617OtherBCBS
LA1720704Medicaid
AL009933241Medicaid
MS05539737Medicaid
AL511-24606OtherBCBS OF AL
AL51556942Medicare ID - Type UnspecifiedRAILROAD PGBA
AL12-00562OtherUNITED HEALTHCARE
MS05539737Medicaid