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Individual
KIMBERLY V REISENWITZ
Active
Individual
KIMBERLY V REISENWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1055707
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51536198
BCBS OF ALABAMA
AL
Enumeration date
09/14/2006
Last updated
07/08/2007
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