Individual
KIMBERLY L BUCKALEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
209 MAIN ST, WEDOWEE, AL 36278-5139
(256) 357-2111
(256) 357-0175
Mailing address
209 MAIN ST, WEDOWEE, AL 36278-5139
(256) 357-2111
(256) 357-0175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1058194
AL
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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