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KIMBERLY J SELF CRNP

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1932619236

Individual Registrant:
 KIMBERLY J SELF CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
20 S MAIN ST  ARAB, AL 35016-1394 US
Tel: 256-586-2324  Fax: 256-586-2321

Contact information for business:
20 S MAIN ST  ARAB, AL 35016-1394 US
Tel: 256-586-2324  Fax: 256-586-2321

Registration Information:
NPI: 1932619236
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL1-139240

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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