| Organization Name: | JOHN R. KINGSLEY, MD, PC |
| NPI Number: | 1104910280 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZEKE ELDRIDGE (PRACTICE MANAGER) |
| Mailing Address: | 700 Montgomery Hwy Suite 210 Vestavia Hills |
| State: | AL US |
| Postal Code: | 352161866 |
| Phone Number: | 2058230151 |
| Fax Number: | 2058235218 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 09/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 5471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |