Healthcare Provider Details

I. General information

NPI: 1891995643
Provider Name (Legal Business Name): KAY BISHOP D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 GADSDEN HWY
BIRMINGHAM AL
35235-1006
US

IV. Provider business mailing address

57 NEWSOME SINKS RD SUITE N
UNION GROVE AL
35175-5008
US

V. Phone/Fax

Practice location:
  • Phone: 205-561-6005
  • Fax: 205-201-5004
Mailing address:
  • Phone: 205-561-6005
  • Fax: 205-201-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2100
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: