Individual
MRS. KIMBERLY COOPER TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPHT
Contact information
Practice address
2525 OAKWOOD AVE NW, HUNTSVILLE, AL 35810-4410
(256) 536-1666
Mailing address
613 OPP REYNOLDS RD, HAZEL GREEN, AL 35750-8237
(256) 656-2061
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T63312
AL
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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