Individual
KATHRYN PEILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 11047, DAYTONA BEACH, FL 32120-1047
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10143
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910948
—
AL
05
—
009924280
—
AL
01
—
051542511
BCBS
AL
01
—
51048987
BCBS
AL
Enumeration date
06/06/2006
Last updated
05/14/2008
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