MEDICARE: MRS. CHELSEY NICOLE KAHLER CRNP

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
1	163W00000X	Registered Nurse	1-143276	AL
2	363L00000X	Nurse Practitioner	1-143276	AL
3	363LG0600X	Gerontology Nurse Practitioner	1-143276	AL
4	363LA2200X	Adult Health Nurse Practitioner	1-143276	AL

General Provider Information

NPI Number	:	1053979708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHELSEY NICOLE KAHLER CRNP

Provider Business Mailing Address
First Line	:	7191 CAHABA VALLEY RD STE 300
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-6461
Country	:	US
Telephone Number	:	205-995-9909
Fax Number	:	205-930-2063

Provider Business Practice Location Address
First Line	:	7191 CAHABA VALLEY RD STE 300
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-6461
Country	:	US
Telephone Number	:	205-995-9909
Fax Number	:	205-930-2063

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2019
Last Update Date	:	06/13/2019

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