Provider Demographics
NPI:1740623750
Name:KAYL, AMY ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:KAYL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27961 US HIGHWAY 98 STE 14
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4725
Mailing Address - Country:US
Mailing Address - Phone:251-626-1175
Mailing Address - Fax:251-625-1507
Practice Address - Street 1:27961 US HIGHWAY 98 STE 14
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4725
Practice Address - Country:US
Practice Address - Phone:251-626-1175
Practice Address - Fax:251-625-1507
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
78631OtherBLUE CROSS BLUE SHIELD OF ALABAMA.