Individual
KAYLA D REINICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, WHNP-BC
Contact information
Practice address
2000 6TH AVE S FL CLINIC1, BIRMINGHAM, AL 35233-2110
(205) 801-8705
(205) 801-7880
Mailing address
700 19TH ST S # 8203, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-154996
AL
363LG0600X
Gerontology Nurse Practitioner
1-154996
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-154996
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-154996
CRNP LICENSE NUMBER
AL
01
—
104084412
WHNP BOARD CERTIFICATION
—
Enumeration date
04/30/2020
Last updated
01/31/2024
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