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

Kenneth E Ellingwood, MD

Individual provider Specialist · NPI 1134111537

Kenneth E Ellingwood, MD is a Specialist in Mobile, Alabama. Licensed in Alabama. Registered with an NPI since 2005.

Licensed in
AL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3719 Dauphin St Ste 100
Mobile, AL 36608-1753
Phone: (251) 414-5665
Fax: (251) 414-5571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 00008683 (AL)

Record details

NPI number1134111537
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing address3719 Dauphin St, Suite 100, Mobile, AL 36608-1753

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