Individual
KIMBERLY J SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
20 S MAIN ST, ARAB, AL 35016-1394
(256) 586-2324
(256) 586-2321
Mailing address
20 S MAIN ST, ARAB, AL 35016-1394
(256) 586-2324
(256) 586-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-139240
AL
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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