Individual
KATELYN L REPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(904) 372-3943
Mailing address
4190 BELFORT RD, JACKSONVILLE, FL 32216-1407
(904) 372-3943
(904) 588-6169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-140191
AL
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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