Individual
KATHERINE FEAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 MOODY PKWY, MOODY, AL 35004-3014
(205) 352-2480
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-159680
AL
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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