Individual
KAYA MACKENZIE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(919) 368-9766
Mailing address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(919) 368-9766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-171435
AL
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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