Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alabama Providence Healthcare Services

Organization Family Medicine Physician · NPI 1083043178

Alabama Providence Healthcare Services is a Family Medicine Physician in Mobile, Alabama. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3

Practice location Address checks out

610 Providence Park Dr E Bldg 1 Ste 102
Mobile, AL 36695-4622
Phone: (251) 639-5070
Fax: (251) 634-2994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1083043178
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAlabama Providence Healthcare Services
Authorized official Todd Kennedy — President · (251) 633-1660
Other names Providence Medical Group
NPI enumeratedNovember 8, 2013
Last updated in NPPESSeptember 28, 2015
Mailing addressPo Box 850489, Mobile, AL 36685-0489

Other providers in Mobile