Individual
KIM MINSHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1428 WEATHERLY RD SE STE 111, HUNTSVILLE, AL 35803-1181
(256) 686-9195
(256) 304-5381
Mailing address
1428 WEATHERLY RD SE STE 111, HUNTSVILLE, AL 35803-1181
(256) 686-9195
(256) 304-5381
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
CPSS-5-11-15-4
AL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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