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MRS. KIM D DOUTHIT CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1538394606

Individual Registrant:
MRS. KIM D DOUTHIT CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4350 CLEVELAND AVE  WALNUT GROVE, AL 35990 US
Tel: 205-589-6361  Fax: --

Contact information for business:
1136 STILLMAN AVE  GADSDEN, AL 35903-2550 US
Tel: 256-549-1824  Fax: --

Registration Information:
NPI: 1538394606
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-090667

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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