Healthcare Provider Details

I. General information

NPI: 1669128567
Provider Name (Legal Business Name): KALHIL IFOR FRANKLIN LCISW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 PALMER RD
MADISON AL
35758-3114
US

IV. Provider business mailing address

697 JIM MCLEMORE RD
HARVEST AL
35749-8545
US

V. Phone/Fax

Practice location:
  • Phone: 256-213-1934
  • Fax:
Mailing address:
  • Phone: 256-813-8296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5558C
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier5558C
Identifier TypeOTHER
Identifier StateAL
Identifier IssuerASWB

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: