Provider Demographics
NPI:1316765837
Name:BATTLE, KARA L
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:L
Last Name:BATTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 IRWIN ST STE 177
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-7316
Mailing Address - Country:US
Mailing Address - Phone:321-506-4693
Mailing Address - Fax:
Practice Address - Street 1:2412 IRWIN ST STE 177
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-7316
Practice Address - Country:US
Practice Address - Phone:321-506-4693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor