Individual
KATHERINE MANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1801
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9050
(205) 731-9789
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-085113
AL
Other
Enumeration date
04/24/2013
Last updated
02/01/2024
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