Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 1-143276 | AL |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 1-143276 | AL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1-143276 | AL |
NPI | 1053979708 |
---|---|
Provider Name | Mrs. Chelsey Nicole Kahler |
First Address | Birmingham, AL 35242-6461 |
Second Address | Birmingham, AL 35242-6461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2019 |
Last Update Date | 13/06/2019 |