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NPI Code Detail

MEDICARE: KATHERINE FLANAGAN MD

MEDICARE: KATHERINE FLANAGAN MD
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
1207N00000XDermatology Physician23903AL

General Provider Information

NPI Number : 1104092675
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE FLANAGAN MD
Provider Business Mailing Address
First Line : 1600 5TH AVE S
Second Line :
City : JASPER
State : AL
Zip : 35501-4658
Country : US
Telephone Number : 205-578-1799
Fax Number :
Provider Business Practice Location Address
First Line : 813 SHADES CREEK PKWY STE 205
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4512
Country : US
Telephone Number : 205-578-1799
Fax Number : 205-578-3158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2008
Last Update Date : 02/04/2026

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Directions to “ KATHERINE FLANAGAN MD” Practice Location

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