Individual
MRS. KIMBERLY COKER BRUNSTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2375 CHAMPIONS BLVD, 3RD FLOOR, AUBURN, AL 36830-6471
(334) 528-5959
(334) 528-5899
Mailing address
2375 CHAMPIONS BLVD, 3RD FLOOR, AUBURN, AL 36830-6471
(334) 528-5959
(334) 528-5899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-078166
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10071082
AMERIGROUP COMMUNITY CARE
TN
05
—
3901756
—
TN
01
—
4084805
BCBS
TN
01
—
7100000620
KY MEDICAID
KY
01
—
P00048664
RAILROAD MEDICARE
TN
Enumeration date
08/17/2005
Last updated
09/19/2016
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