Individual
KALE CARNATHAN DEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
922 6TH AVE SE, SUITE A, DECATUR, AL 35601-3907
(256) 309-0454
(256) 309-0422
Mailing address
922 6TH AVE SE, SUITE A, DECATUR, AL 35601-3907
(256) 309-0454
(256) 309-0422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2486
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-93751
BLUE CROSS BLUE SHIELD
AL
01
—
PTH2486
PT LICENCE
AL
Enumeration date
11/12/2008
Last updated
11/19/2008
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