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NPI Code Detail

MEDICARE: KATIE ELIZABETH SEELE

MEDICARE:   KATIE ELIZABETH SEELE
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
1164W00000XLicensed Practical Nurse2-061814AL

General Provider Information

NPI Number : 1093609570
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE ELIZABETH SEELE
Provider Business Mailing Address
First Line : 2104 LAKEVIEW HTS
Second Line :
City : CLANTON
State : AL
Zip : 35045-2532
Country : US
Telephone Number : 205-217-6494
Fax Number :
Provider Business Practice Location Address
First Line : 2104 LAKEVIEW HTS
Second Line :
City : CLANTON
State : AL
Zip : 35045-2532
Country : US
Telephone Number : 205-217-6494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2025
Last Update Date : 06/07/2025

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Directions to “ KATIE ELIZABETH SEELE ” Practice Location

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