Healthcare Provider Details

I. General information

NPI: 1912825860
Provider Name (Legal Business Name): MRS. KAY LYN ALLBRITTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 COUNTY ROAD 1101
VINEMONT AL
35179-7037
US

IV. Provider business mailing address

4880 COUNTY ROAD 1101
VINEMONT AL
35179-7037
US

V. Phone/Fax

Practice location:
  • Phone: 678-642-1262
  • Fax: 205-319-6634
Mailing address:
  • Phone: 678-642-1262
  • Fax: 205-319-6634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number1-193244
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: