Provider Demographics
NPI:1336354828
Name:HASELDEN, KATHLEEN ROBBINS (MT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ROBBINS
Last Name:HASELDEN
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3496
Mailing Address - Country:US
Mailing Address - Phone:706-614-7064
Mailing Address - Fax:
Practice Address - Street 1:2717 HIGHLAND AVE S
Practice Address - Street 2:1005
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1755
Practice Address - Country:US
Practice Address - Phone:706-614-7064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist