Healthcare Provider Details

I. General information

NPI: 1790849784
Provider Name (Legal Business Name): RYAN E KABEL BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2479 MALL RD
FLORENCE AL
35630-2809
US

IV. Provider business mailing address

PO BOX 1039
FLORENCE AL
35631-1039
US

V. Phone/Fax

Practice location:
  • Phone: 256-766-8108
  • Fax:
Mailing address:
  • Phone: 256-766-8108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number521
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number4086
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: