Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 32551 | AL |
NPI | 1003103771 |
---|---|
Provider Name | Dr. Katelyn Braswell Parnell |
First Address | Mobile, AL 36608 |
Second Address | Mobile, AL 36608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
172884 | (05) | AL |