OrganizationActive
Alabama Providence Healthcare Services
NPI 1174952261 · Family Medicine Physician · Robertsdale, AL
Provider details
- NPI number
- 1174952261
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Alabama Providence Healthcare Services
- Organization subpart
- Yes
- Authorized official
- Todd Kennedy, President(251) 633-1660
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
18317 US Hwy 90
Robertsdale, AL 36567
Phone: (251) 947-2000
Fax: (251) 947-5399
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 850489
Mobile, AL 36685-0489
Other names (DBA / former)
- Other name
- Providence Medical Group
Registry dates
- Enumerated
- 2013-11-08
- Last updated
- 2015-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.