Kathryn F Lauderdale, APN | |
4858 County Road 20, Geraldine, AL 35974 | |
(256) 659-2422 | |
Not Available |
Full Name | Kathryn F Lauderdale |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4858 County Road 20, Geraldine, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336129022 | NPI | - | NPPES |
78011228 | Medicaid | KY | |
114058 | Medicaid | AL | |
113876 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12424 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-034313 (Alabama) | Primary |
Entity Name | Quality Of Life Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
Mailing Address | Practice Location Address |
---|---|
Kathryn F Lauderdale, APN Po Box 97, Gadsden, AL 35902-0097 Ph: (256) 492-0131 | Kathryn F Lauderdale, APN 4858 County Road 20, Geraldine, AL 35974 Ph: (256) 659-2422 |
Michelle A Stuart, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41263 Al Highway 75 Ste D, Geraldine, AL 35974 Phone: 256-659-2000 Fax: 256-659-2002 | |
Lori Kristen Gorham Floyd, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12062 Al Highway 227, Geraldine, AL 35974 Phone: 256-659-2422 |