Individual
KATELON PERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
120 MURPHY ST, JACKSON, AL 36545-3408
(251) 589-8111
Mailing address
120 MURPHY ST, JACKSON, AL 36545-3408
(251) 589-8111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000058253
AL
Other
Enumeration date
06/14/2023
Last updated
06/30/2025
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