Healthcare Provider Details

I. General information

NPI: 1033054671
Provider Name (Legal Business Name): KEMET SNOW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 STONERIVER DR # 538
BIRMINGHAM AL
35211-4555
US

IV. Provider business mailing address

538 STONERIVER DR # 538
BIRMINGHAM AL
35211-4555
US

V. Phone/Fax

Practice location:
  • Phone: 205-946-7570
  • Fax: 205-946-7570
Mailing address:
  • Phone: 205-946-7570
  • Fax: 205-946-7570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: