Individual
KATIE KEATON FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
709 DOWNTOWNER LOOP W, MOBILE, AL 36609-5503
(251) 341-1418
(251) 341-3599
Mailing address
709 DOWNTOWNER LOOP W, MOBILE, AL 36609-5503
(251) 341-1418
(251) 341-3599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH004546
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-37561
BCBS
AL
01
—
J485
MEDICARE GROUP
AL
01
—
J486
MEDICARE GROUP
AL
Enumeration date
06/02/2006
Last updated
02/14/2008
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