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Individual

MRS. KIMBERLY KRISTIN CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1950 MAIN ST, ROANOKE, AL 36274-2512
(334) 863-2311
Mailing address
PO BOX 2345, ANNISTON, AL 36202-2345
(334) 863-1249

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-149155
AL
363LP2300X
Primary Care Nurse Practitioner
1-149155
AL

Other

Enumeration date
08/14/2019
Last updated
09/30/2019
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