Provider Demographics
NPI:1487739314
Name:GUINN, LOUIS KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:KEITH
Last Name:GUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E PUSHMATAHA ST
Mailing Address - Street 2:P O BOX 678
Mailing Address - City:BUTLER
Mailing Address - State:AL
Mailing Address - Zip Code:36904-0678
Mailing Address - Country:US
Mailing Address - Phone:205-459-4499
Mailing Address - Fax:205-459-5348
Practice Address - Street 1:315 E PUSHMATAHA ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:AL
Practice Address - Zip Code:36904-0678
Practice Address - Country:US
Practice Address - Phone:205-459-4499
Practice Address - Fax:205-459-5348
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13769207Q00000X
MS17028207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL83614OtherBCBS PROVIDER NUMBER
AL000083614Medicaid
ALC72303Medicare UPIN
AL83614OtherBCBS PROVIDER NUMBER