Healthcare Provider Details

I. General information

NPI: 1891149308
Provider Name (Legal Business Name): KIMBERLY HANNAH WENDLAND DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US

IV. Provider business mailing address

PO BOX 55310
BIRMINGHAM AL
35255-5310
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3000
  • Fax: 205-297-9411
Mailing address:
  • Phone: 251-721-4039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number148498
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: