Search › Alabama › 363LF0000X
Thaila Keodouangdy
NPI 1104448919 · on the registry since 2020 · sole proprietor
Practice
- Address
- 19250 N Mobile St
Citronelle, AL 36522 - Phone
- (251) 866-9126
- Organisation at this address
- Mobile County Board Of Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 251 N Bayou St, Mobile, AL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama