Most Relevant Information
Provider Data
| NPI Number: | 1003420464 |
| Provider Name: | CLINTON TAYLOR KILCREASE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD.43478 |
Most Important Dates
| Enumeration Date: | 09/03/2020 |
| Last Updated: | 07/06/2023 |
Provider Practice Location
1704 S FOREST AVE
LUVERNE
AL
360497306
Practice Location Phone/Fax
| Phone: | 3343353383 |
| Fax: | 3343353078 |
Provider Mailing Location
1704 S FOREST AVE
LUVERNE
AL
360497306
Provider Mailing Phone/Fax
| Phone: | 3343353383 |
| Fax: | 3343353078 |
Suggested EMR
Family Practice EMR