Healthcare Provider Details

I. General information

NPI: 1205458866
Provider Name (Legal Business Name): KEVIN GIATTINA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2020
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 HILLCREST RD
MOBILE AL
36695-3808
US

IV. Provider business mailing address

PO BOX 21595
BELFAST ME
04915-4112
US

V. Phone/Fax

Practice location:
  • Phone: 251-666-2213
  • Fax: 251-660-8037
Mailing address:
  • Phone: 251-318-2678
  • Fax: 251-405-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.3059
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: