| Doctor Name: | MRS. KATHLEEN R. CARLEN-MAGNONE |
| NPI Number: | 1003194499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-104237 |
| Business Practice Address: | 6801 Airport Blvd Mobile, AL - 366083709 |
| Business Phone Number: | 2516395775 |
| Business Fax Number: | 2516313581 |
| Mailing Address: | Po Box 850489, MOBILE |
| State: | AL |
| Postal Code: | 366850489 |
| Phone Number: | 2513423949 |
| Fax Number: | 2516313361 |
| NPI Enumeration Date: | 08/02/2011 |
| NPI Last Update Date: | 08/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 1-104237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |