Individual
KATHRYN ELISE CHAPPELL MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
818 HICKORY DR, MOUNT OLIVE, AL 35117-3319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1357
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1357
ALABAMA BOARD OF MEDICAL EXAMINERS PHYSICIAN ASSISTANT LICENSE
AL
Enumeration date
08/24/2018
Last updated
08/24/2018
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