OrganizationActive
Alabama Providence Healthcare Services
NPI 1093174286 · General Practice Physician · Gulf Shores, AL
Provider details
- NPI number
- 1093174286
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Todd Kennedy, President(251) 633-8880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1700 W 2nd St
Gulf Shores, AL 36542-3422
Phone: (251) 342-3949
Fax: (251) 631-3361
Approximate (ZIP-level) locationGet directions
Mailing address
6701 Airport Blvd
Mobile, AL 36608-6705
Other names (DBA / former)
- Doing business as
- Providence Medical Group - Gulf Shores
Registry dates
- Enumerated
- 2016-02-16
- Last updated
- 2016-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.