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NPI Code Detail

MEDICARE: MRS. JULIE SUZANNE KAALBERG M.S.

MEDICARE: MRS. JULIE SUZANNE KAALBERG M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1467780122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE SUZANNE KAALBERG M.S.
Provider Business Mailing Address
First Line : 719 THOMPSON LN STE 27100
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4684
Country : US
Telephone Number : 615-936-2297
Fax Number : 615-343-8881
Provider Business Practice Location Address
First Line : 719 THOMPSON LN STE 27100
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4684
Country : US
Telephone Number : 615-936-2297
Fax Number : 615-343-8881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2009
Last Update Date : 11/18/2009

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