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KACI M BYRD CHEESEMAN P.A.

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1013245257

Individual Registrant:
 KACI M BYRD CHEESEMAN P.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
950 W COY SMITH HWY  MOUNT VERNON, AL 36560-3201 US
Tel: 251-829-9884  Fax: 251-829-9507

Contact information for business:
251 N BAYOU ST  MOBILE, AL 36603-5827 US
Tel: 251-690-8158  Fax: 251-544-2188

Registration Information:
NPI: 1013245257
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
ALPA681

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MAIN GROUP MEDICARE PAYEE NUMBER011846AL01
GROUP NPI PAYEE NUMBER1063439065AL01
630000013AL05




HEALTH CARE JOBS AL - Page 1



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