Stallworth, David Kern

Stallworth, David Kern is an individual health care provider with primary practice located at 2016 S Alabama Ave , Monroeville AL 36460-3044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stallworth, David Kern can be contacted via phone (205) 180-3606.

Contact Information

Primary practice address
2016 S Alabama Ave Monroeville AL 36460-3044
Phone: (205) 180-3606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 14114 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00014114 Alabama

Profile Details

NPI number 1083662688
LBN Legal business name Stallworth, David Kern
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 27th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083662688 NPPES
Other 051513418 MCH SURG MCARE PROV. NO.
Other 051513418 MCH SURG MCARE PROV. NO.
Other 020054555 MCH SURG MCARE PROV. NO.
MEDICAID 051556564 MCH SURG MCARE PROV. NO.
Other 009910385 MCH SURG MCARE PROV. NO.

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