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General NPI Number Information
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NPI Number | 1568430759
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Entity Type | Individual
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Provider Name | KEVIN P. MICHAELS M.D., MPH
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 251 N BAYOU ST
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City | MOBILE
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State | AL
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Zip | 36603-5827
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Country | US
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Telephone | 251-690-8158
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2867
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City | MOBILE
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State | AL
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Zip | 36652-2867
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Country | US
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Telephone | 251-690-8158
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Fax | 251-690-8859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 17444
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 17444
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD.17444
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License Number State | AL
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