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Individual

MRS. KATHLEEN GRAM BAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1041 BALCH RD STE 300, MADISON, AL 35758-8822
(245) 325-1540
Mailing address
185 THOMAS DR, MADISON, AL 35758-8697
(256) 783-9015

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-153770
AL

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
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