Healthcare Provider Details

I. General information

NPI: 1467381376
Provider Name (Legal Business Name): MARY KATHERINE DOWDY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US

IV. Provider business mailing address

6526 SOUTHERN TRACE DR
LEEDS AL
35094-6605
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3000
  • Fax:
Mailing address:
  • Phone: 256-613-4288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-194144
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-194144
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: