Doctor Name: | MR. KENNETH JOE BATCHELOR |
NPI Number: | 1205954799 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 1-090519 |
Business Practice Address: | 1201 Highway 31 Nw Hartselle, AL - 356404420 |
Business Phone Number: | 2567514119 |
Business Fax Number: | |
Mailing Address: | 118 Burwell Hills Dr, HARVEST |
State: | AL |
Postal Code: | 35749 |
Phone Number: | 2568588584 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-090519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |