Provider Demographics
NPI:1235520321
Name:KINSLOW, CATHERINE KELSEY (CRNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:KELSEY
Last Name:KINSLOW
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 HWY 31 SOUTH
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603
Mailing Address - Country:US
Mailing Address - Phone:256-445-3100
Mailing Address - Fax:256-445-3104
Practice Address - Street 1:2406 HWY 31
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1504
Practice Address - Country:US
Practice Address - Phone:256-445-3100
Practice Address - Fax:256-445-3104
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-136966363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care