Individual
KIMBERLY RAE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PREMIER ANESTHESIA-BAPTIST HOSPITAL EAST, 400 TAYLOR ROAD, MONTGOMERY, AL 36617
(334) 277-8330
Mailing address
281 BAGLEY DR, TRUSSVILLE, AL 35173-4231
(205) 567-8381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-081990
AL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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