Individual
MRS. KIMBERLY KAY BUDISALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2828 HIGHWAY 31 S STE 114, DECATUR, AL 35603-1538
(256) 355-5313
Mailing address
2828 HIGHWAY 31 S STE 114, DECATUR, AL 35603-1538
(256) 355-5315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105634
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I507804
MEDICARE PRIVIDER TRANSACTION ACCESS NUMBER
AL
Enumeration date
08/29/2009
Last updated
12/19/2013
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