Healthcare Provider Details

I. General information

NPI: 1477050920
Provider Name (Legal Business Name): KELLY MOVER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 UNIVERSITY HOSPITAL DR
MOBILE AL
36617-2300
US

IV. Provider business mailing address

2451 UNIVERSITY HOSPITAL DR
MOBILE AL
36617-2300
US

V. Phone/Fax

Practice location:
  • Phone: 251-660-2360
  • Fax: 251-461-3494
Mailing address:
  • Phone: 251-660-2360
  • Fax: 251-461-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS20366
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: