Healthcare Provider Details
I. General information
NPI: 1982658159
Provider Name (Legal Business Name): KATHERINE L. SAVELLS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2006
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1835 OLD SHELL RD
MOBILE AL
36607-3416
US
IV. Provider business mailing address
PO BOX 91899
MOBILE AL
36691-1899
US
V. Phone/Fax
- Phone: 251-706-8170
- Fax: 251-706-8098
- Phone: 251-706-8170
- Fax: 251-706-8098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 26588 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: