Doctor Name: | KATHLEEN LOUISE BACHELOR |
NPI Number: | 1386680049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 1-045813 |
Business Practice Address: | 10939 Alabama Highway 157 Moulton, AL - 35650 |
Business Phone Number: | 2569748440 |
Business Fax Number: | 2569746993 |
Mailing Address: | Po Box 340, MOULTON |
State: | AL |
Postal Code: | 356500340 |
Phone Number: | 2569748440 |
Fax Number: | 2569746993 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-045813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |