Individual
KYLIE STANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4965 PROMENADE PKWY, BESSEMER, AL 35022-7304
(205) 426-7105
Mailing address
4872 LONGMEADOW DR, BESSEMER, AL 35022-7028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20494
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/26/2019
Last updated
06/11/2019
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