# KIMALYN DUMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174505101
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 1077063 | AL | — |
| 363L00000X | Nurse Practitioner | ARNP9422997 | FL | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 03/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 051552833 | — | AL |
| 01 | — | 33181 | BCBS | FL |
| 01 | — | 51515022 | BCBS OF AL | AL |