| Kathryn F Lauderdale, APN | |
|
4858 County Road 20, Geraldine, AL 35974 | |
| (256) 659-2422 | |
| Not Available |
| Full Name | Kathryn F Lauderdale |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4858 County Road 20, Geraldine, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336129022 | NPI | - | NPPES |
| 78011228 | Medicaid | KY | |
| 114058 | Medicaid | AL | |
| 113876 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12424 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-034313 (Alabama) | Primary |
| Entity Name | Quality Of Life Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn F Lauderdale, APN Po Box 97, Gadsden, AL 35902-0097 Ph: (256) 492-0131 | Kathryn F Lauderdale, APN 4858 County Road 20, Geraldine, AL 35974 Ph: (256) 659-2422 |
Michelle A Stuart, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41263 Al Highway 75 Ste D, Geraldine, AL 35974 Phone: 256-659-2000 Fax: 256-659-2002 | |
Lori Kristen Gorham Floyd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12062 Al Highway 227, Geraldine, AL 35974 Phone: 256-659-2422 |