Individual
KIMBERLY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9292
Mailing address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-080692
AL
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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