MEDICARE: KARLIE MCKENNA HERRERA

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	207RI0200X	Infectious Disease Physician	1-188060	AL

General Provider Information

NPI Number	:	1881547248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLIE MCKENNA HERRERA

Provider Business Mailing Address
First Line	:	420 LOWELL DR SE STE 301
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3762
Country	:	US
Telephone Number	:	256-265-7955
Fax Number	:	256-265-7954

Provider Business Practice Location Address
First Line	:	420 LOWELL DR SE STE 301
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3762
Country	:	US
Telephone Number	:	256-265-7955
Fax Number	:	256-265-7954

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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