Organization Active NPI

Family Practice Specialist, PC

  • Legal Medicine
  • Muscle Shoals, AL
National Provider Identifier
1194904284
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
10486 Issued in AL
Legal business name
FAMILY PRACTICE SPECIALIST, PC
Practice address
203 Avalon Ave
Suite 350
Muscle Shoals, AL 35661-2869
Phone
(256) 381-2161
Fax
(256) 381-2161
NPI assigned
Oct 25, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Kenneth D Kiser, MD
Title
Owner
Phone
(256) 381-2161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 10486 AL Primary

Addresses

Primary practice location

203 Avalon Ave
Suite 350
Muscle Shoals, AL 35661-2869

Mailing address

203 Avalon Ave
Suite 350
Muscle Shoals, AL 35661-2869
Phone (256) 381-2161

National Provider Directory

National Provider Directory

Locations

203 Avalon Ave
Ste 390
Muscle Shoals, AL 35661
Phone (256) 386-1105

1120 S Jackson Hwy
Ste 301A
Sheffield, AL 35660
Phone (256) 381-2161

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1194904284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AVALON AVE",
            "address_2": "SUITE 350",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612869",
            "telephone_number": "256-381-2161",
            "fax_number": "256-381-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AVALON AVE",
            "address_2": "SUITE 350",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612869",
            "telephone_number": "256-381-2161",
            "fax_number": "256-381-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-381-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.