Healthcare Provider Details

I. General information

NPI: 1528171378
Provider Name (Legal Business Name): CARING FOR KIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 OPELIKA ROAD
PHENIX CITY AL
36867
US

IV. Provider business mailing address

1610 OPELIKA ROAD
PHENIX CITY AL
36867
US

V. Phone/Fax

Practice location:
  • Phone: 334-291-0221
  • Fax:
Mailing address:
  • Phone: 334-291-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TONYA PRIVOTT
Title or Position: OFFICE MANAGER
Credential:
Phone: 334-291-0221