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Individual

KIMBERLY CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(850) 261-1262
Mailing address
2483 VERA CRUZ DR, BIRMINGHAM, AL 35235-2234
(850) 261-1262

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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