Individual
MRS. KIMBERLY GRACE ANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(205) 994-0708
Mailing address
208 CASE RD, HUNTSVILLE, AL 35811-8626
(205) 994-0708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-123096
AL
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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