David B. Keddy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15496 Issued in AL

Legal business name

DAVID B. KEDDY, M.D.

Practice address

12831 6TH St
Suite H
Lillian, AL 36549-4166

Phone

(251) 961-1611

Fax

(251) 961-1613

NPI assigned

Feb 21, 2011

Last updated

Feb 21, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David B Keddy, M.D.

Title

Owner

Phone

(251) 961-1611

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1063719474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12831 6TH ST",
            "address_2": "SUITE H",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494166",
            "telephone_number": "251-961-1611",
            "fax_number": "251-961-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12831 6TH ST",
            "address_2": "SUITE H",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494166",
            "telephone_number": "251-961-1611",
            "fax_number": "251-961-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. KEDDY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "KEDDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-961-1611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "15496",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lillian, AL
• Providers in Lillian, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.