Individual
KAITLIN MACKENZIE NOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ALABAMA AVENUE, MUSCLE SHOALS, AL 35661
(256) 381-4330
Mailing address
522 ZOLLIE BARNES RD, RUSSELLVILLE, AL 35654-8337
(256) 412-9153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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