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KIMBERLY V REISENWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4030 PEPPERWOOD CIR SW, HUNTSVILLE, AL 35801-6499
(256) 539-6536
Mailing address
1958 CARTER GROVE RD, HAZEL GREEN, AL 35750-8327
(256) 828-1695

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1055707
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51536198
BCBS OF ALABAMA
AL
Enumeration date
09/14/2006
Last updated
07/08/2007
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