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NPI Code Detail

MEDICARE: LUNA KAHSAY RN

MEDICARE:   LUNA  KAHSAY  RN
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
1163WC0200XCritical Care Medicine Registered Nurse1-174114AL

General Provider Information

NPI Number : 1174152656
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUNA KAHSAY RN
Provider Business Mailing Address
First Line : 3545 GRANDVIEW PKWY APT 303
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-2073
Country : US
Telephone Number : 678-787-7811
Fax Number :
Provider Business Practice Location Address
First Line : 1802 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1932
Country : US
Telephone Number : 678-787-7811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 04/06/2020

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