Healthcare Provider Details

I. General information

NPI: 1588535116
Provider Name (Legal Business Name): KIDSXPRESS URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 DOUG BAKER BLVD STE 200
BIRMINGHAM AL
35242-2688
US

IV. Provider business mailing address

PO BOX 440
COTTONDALE AL
35453-0105
US

V. Phone/Fax

Practice location:
  • Phone: 659-207-9245
  • Fax: 256-299-7092
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE HAWTHORNE
Title or Position: FINANCE MANAGER
Credential:
Phone: 205-292-2428