Healthcare Provider Details

I. General information

NPI: 1669084695
Provider Name (Legal Business Name): KELLY BARLOW HUFF PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 GOVERNMENT ST
MOBILE AL
36606-1622
US

IV. Provider business mailing address

2050 GOVERNMENT ST
MOBILE AL
36606-1622
US

V. Phone/Fax

Practice location:
  • Phone: 251-476-1825
  • Fax:
Mailing address:
  • Phone: 251-895-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19967
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: