Individual
KEVIN J SHIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
617 E BROAD ST STE B, EUFAULA, AL 36027-1710
(334) 232-4368
Mailing address
2967 ROSS CLARK CIR, DOTHAN, AL 36301-1119
(334) 305-2085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN135083
AL
363LF0000X
Family Nurse Practitioner
1-154991
AL
Other
Enumeration date
06/22/2016
Last updated
07/07/2025
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