Healthcare Provider Details

I. General information

NPI: 1811387947
Provider Name (Legal Business Name): KIMBERLY M FLOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY MICHELLE KEY CRNP

II. Dates (important events)

Enumeration Date: 01/27/2015
Last Update Date: 05/10/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 6TH AVE
TUSCALOOSA AL
35405-3990
US

IV. Provider business mailing address

2425 COUNTY ROAD 438
CULLMAN AL
35057-2971
US

V. Phone/Fax

Practice location:
  • Phone: 205-345-4862
  • Fax: 205-330-0228
Mailing address:
  • Phone: 205-335-1763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP08133
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-099932
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: