Basic Information
Provider Information
NPI: 1437700317
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEPLINSKI
FirstName: KATHRYNE
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 SIVLEY RD SW STE 300
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358015102
CountryCode: US
TelephoneNumber: 2562650233
FaxNumber: 2565333379
Practice Location
Address1: 201 SIVLEY RD SW STE 300
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358015102
CountryCode: US
TelephoneNumber: 2562650233
FaxNumber: 2565333379
Other Information
ProviderEnumerationDate: 09/23/2019
LastUpdateDate: 09/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X1-088006ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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