Individual
JOHN KIRK PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
841 ROUNDHILL RD, PELHAM, AL 35124-1519
(954) 732-1832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-164079
AL
Other
Enumeration date
04/21/2020
Last updated
01/08/2024
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