Keith  A  Knigge    DO
Contract Details
American Family Care--Daphne
Facility name
Provider ID
P000003543
NPI
1386891620
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
4/24/2018
Direct Contract
Yes
Term Date
4/24/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6631 Park Drive
Daphne, AL 36526
United States
County
Baldwin
Phone
2516265700 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address