Individual
KENNEDIE MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP CRNA
Contact information
Practice address
434 HOLLAND LAKES DR N, PELHAM, AL 35124-3969
(205) 238-0308
Mailing address
434 HOLLAND LAKES DR N, PELHAM, AL 35124-3969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-162245
AL
Other
Enumeration date
08/31/2021
Last updated
06/05/2024
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