Individual
KIMBERLY LEE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2205 BELTLINE RD SW, DECATUR, AL 35601-3617
(256) 306-4000
Mailing address
14448 WATER STREAM DR NW, HARVEST, AL 35749-5915
(256) 348-5573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F-04180370
AL
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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