Individual
KATHRYN F LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4858 COUNTY ROAD 20, GERALDINE, AL 35974
(256) 659-2422
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-034313
AL
363LF0000X
Family Nurse Practitioner
12424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113876
—
AL
05
—
114058
—
AL
05
—
78011228
—
KY
Enumeration date
01/19/2006
Last updated
04/08/2011
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