NPI 1295567568
Mackenna Leeann Kaup
Practice location
- Address
- 530 Sparkman St SW, Hartselle, AL 35640-3120
- Phone
- (256) 502-9582
- Mailing address
- 92 Village Dr, Hartselle, AL 35640-5941
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1295567568
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2024
- Record last updated
- 15 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.