Healthcare Provider Details

I. General information

NPI: 1831022185
Provider Name (Legal Business Name): KALI BENNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 HIGHWAY 119 S
ALABASTER AL
35007-8511
US

IV. Provider business mailing address

125 MONTEVALLO LN
MOUNTAIN BRK AL
35213-4405
US

V. Phone/Fax

Practice location:
  • Phone: 205-663-5405
  • Fax:
Mailing address:
  • Phone: 423-503-7344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15883
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: