Individual
KATHRYN BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 996-2602
Mailing address
2324 RIVER HAVEN LN, HOOVER, AL 35244-1269
(205) 789-6142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-118254
AL
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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