Most Relevant Information
Provider Data
| NPI Number: | 1003194499 |
| Provider Name: | KATHLEEN R. CARLEN-MAGNONE CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-104237 |
Most Important Dates
| Enumeration Date: | 08/02/2011 |
| Last Updated: | 08/02/2011 |
Provider Practice Location
6801 AIRPORT BLVD
MOBILE
AL
366083709
Practice Location Phone/Fax
| Phone: | 2516395775 |
| Fax: | 2516313581 |
Provider Mailing Location
PO BOX 850489
MOBILE
AL
366850489
Provider Mailing Phone/Fax
| Phone: | 2513423949 |
| Fax: | 2516313361 |