Healthcare Provider Details

I. General information

NPI: 1558057166
Provider Name (Legal Business Name): KARI L FRALISH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 04/17/2023
Certification Date: 04/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W 3RD AVE
ALBANY GA
31701-1975
US

IV. Provider business mailing address

427 W 3RD AVE
ALBANY GA
31701-1975
US

V. Phone/Fax

Practice location:
  • Phone: 229-312-7141
  • Fax:
Mailing address:
  • Phone: 229-312-7141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN225441
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: