Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN104777 | GA |
NPI | 1093883126 |
---|---|
Provider Name | Mrs. Kimberly Spencer Bell |
First Address | Atlanta, GA 30332-0001 |
Second Address | Atlanta, GA 30332-1212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 09/01/2018 |