Most Relevant Information
Provider Data
| NPI Number: | 1003397324 |
| Provider Name: | KATHRYN ELISE CHAPPELL MAHAFFEY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1357 |
Most Important Dates
| Enumeration Date: | 08/24/2018 |
| Last Updated: | 08/24/2018 |
Provider Practice Location
1802 6TH AVE S
BIRMINGHAM
AL
352331932
Practice Location Phone/Fax
| Phone: | 2059343411 |
| Fax: |
Provider Mailing Location
818 HICKORY DR
MOUNT OLIVE
AL
351173319
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |