Individual
MS. SHERRY LOU KIMBRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1201 COLISEUM DRIVE, COLISEUM ATHLETIC TRAINING ROOM, TUSCALOOSA, AL 35487-0001
(205) 348-4421
(205) 348-4419
Mailing address
237 SANDBROOK LN, TUSCALOOSA, AL 35405-3974
(205) 391-9236
(205) 348-4419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
053
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053
STATE LICENSE
AL
Enumeration date
02/06/2006
Last updated
07/08/2007
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