MEDICARE: DR. KATHLEEN JO FELKER M.D.

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	2085R0202X	Diagnostic Radiology Physician	55081	TN
2	2085R0202X	Diagnostic Radiology Physician	23124	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	890-43913	OTHER	AL	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	51067173	OTHER	AL	BCBS
11	51595719	OTHER	AL	BCBS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	51507013	OTHER	AL	BCBS OF AL
14	51595726	OTHER	AL	BCBS
15	51595727	OTHER	AL	BCBS
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21	890-51500	OTHER	AL	BCBS
22	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24	51595720	OTHER	AL	BCBS
25	51595724	OTHER	AL	BCBS
26	51595725	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1174506166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN JO FELKER M.D.

Provider Business Mailing Address
First Line	:	2006 FRANKLIN ST SE
Second Line	:	SUITE 200
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4551
Country	:	US
Telephone Number	:	256-539-0457
Fax Number	:	256-539-5827

Provider Business Practice Location Address
First Line	:	2006 FRANKLIN ST SE STE 200
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4537
Country	:	US
Telephone Number	:	256-539-0457
Fax Number	:	256-539-5827

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	08/10/2023