Individual
KATHLEEN KIMBROUGH SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1201 11TH AVE S STE 305, BIRMINGHAM, AL 35205-3422
(205) 996-2770
(205) 996-2733
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(057) 319-7012
(057) 319-7892
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-153586
AL
Other
Enumeration date
10/02/2018
Last updated
03/18/2024
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