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Individual

KALE CARNATHAN DEMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

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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