MEDICARE: KIMBERLY M FLOWERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP08133	LA
2	363LF0000X	Family Nurse Practitioner	1-099932	AL

General Provider Information

NPI Number	:	1811387947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY M FLOWERS

Provider Business Mailing Address
First Line	:	2425 COUNTY ROAD 438
Second Line	:
City	:	CULLMAN
State	:	AL
Zip	:	35057-2971
Country	:	US
Telephone Number	:	205-335-1763
Fax Number	:

Provider Business Practice Location Address
First Line	:	7005 6TH AVE
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-3990
Country	:	US
Telephone Number	:	205-345-4862
Fax Number	:	205-330-0228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	05/10/2024

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Directions to “ KIMBERLY M FLOWERS ” Practice Location

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