Healthcare Provider Details

I. General information

NPI: 1013551449
Provider Name (Legal Business Name): JOHN F KILPATRICK LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SPRING HILL AVE
MOBILE AL
36604-2718
US

IV. Provider business mailing address

PO BOX 41241
MOBILE AL
36640-1241
US

V. Phone/Fax

Practice location:
  • Phone: 251-405-3677
  • Fax:
Mailing address:
  • Phone: 251-753-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4834G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: