Individual
KATHLEEN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
645 MCQUEEN SMITH RD N STE 207, PRATTVILLE, AL 36066-7263
(334) 351-1000
(334) 273-2228
Mailing address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-104704
AL
363LF0000X
Family Nurse Practitioner
122593
OK
Other
Enumeration date
07/23/2016
Last updated
07/20/2023
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