| Thaila Keodouangdy, | |
| 19250 N Mobile St, Citronelle, AL 36522-2122 | |
| (251) 866-9126 | |
| Not Available | 
| Full Name | Thaila Keodouangdy | 
|---|---|
| Gender | Female | 
| Speciality | |
| Experience | Years | 
| Location | 19250 N Mobile St, Citronelle, Alabama | 
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104448919 | NPI | - | NPPES | 
| 261555 | Medicaid | AL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-136625 (Alabama) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thaila Keodouangdy, Po Box 2867, Mobile, AL 36652-2867 Ph: (251) 690-8158 | Thaila Keodouangdy, 19250 N Mobile St, Citronelle, AL 36522-2122 Ph: (251) 866-9126 | 
| Mr. Charles Seth Davis, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19250 N Mobile St, Citronelle, AL 36522 Phone: 251-866-7454 Fax: 251-866-9121 | |
| Ms. Hillary Macall Whitfield, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19140 S 3rd St, Citronelle, AL 36522 Phone: 251-866-0086 | |
| Nancy Ursprung, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19250 N Mobile St, Citronelle, AL 36522 Phone: 251-866-7454 Fax: 251-866-9121 |