Individual
KIMBERLY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-135150
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
104564
AL
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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