Individual
MICHELLE BLACKBURN KALOUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 ROCKET WAY, GARDENDALE, AL 35071-4749
(205) 263-0952
Mailing address
5020 KERRY DOWNS RD, BIRMINGHAM, AL 35242-3906
(205) 999-8578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-123866
AL
Other
Enumeration date
12/14/2020
Last updated
01/31/2024
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