Provider Demographics
NPI:1003103771
Name:PARNELL, KATELYN BRASWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:BRASWELL
Last Name:PARNELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:VIRGINIA
Other - Last Name:BRASWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3715 DAUPHIN STREET, SUITE 3-B
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608
Mailing Address - Country:US
Mailing Address - Phone:251-344-5900
Mailing Address - Fax:251-344-5172
Practice Address - Street 1:3715 DAUPHIN ST, SUITE 3-B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-344-5900
Practice Address - Fax:251-344-5172
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL32551207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL172884Medicaid