Healthcare Provider Details

I. General information

NPI: 1902214216
Provider Name (Legal Business Name): KARA SNOW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 US HIGHWAY 31 S
DECATUR AL
35603-1644
US

IV. Provider business mailing address

1316 SOMERVILLE RD SE STE 1
DECATUR AL
35601-4309
US

V. Phone/Fax

Practice location:
  • Phone: 256-260-7361
  • Fax: 256-355-6092
Mailing address:
  • Phone: 256-260-7361
  • Fax: 256-355-6092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: