Individual
KIMBERLY K CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3078 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2500
(251) 341-5662
(251) 341-5663
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5345
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529917620
—
AL
Enumeration date
08/27/2008
Last updated
08/27/2008
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