Individual
KIMYUATTA A SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
216 1ST ST S, REFORM, AL 35481
(205) 375-9255
(205) 375-9245
Mailing address
11118 ALFORD AVE, NORTHPORT, AL 35475-4530
(205) 330-8526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PTH3586
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532337
BCBS PROVIDER NUMBER
AL
01
—
PTH3586
LICENSURE NUMBER
AL
Enumeration date
04/20/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us