Provider Demographics
NPI:1154366144
Name:NEY, KATHRYN (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:NEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 STANTON RD
Mailing Address - Street 2:STE. A
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4299
Mailing Address - Country:US
Mailing Address - Phone:251-626-1182
Mailing Address - Fax:251-217-2085
Practice Address - Street 1:1026 STANTON RD
Practice Address - Street 2:SUITE A
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4299
Practice Address - Country:US
Practice Address - Phone:251-626-1182
Practice Address - Fax:251-217-2085
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL240152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051505902Medicaid
AL51505902OtherBCBS
AL51505902OtherBCBS