Kimbro, Sherry Lou

Kimbro, Sherry Lou is an individual health care provider with primary practice located at 1201 Coliseum Drive Coliseum Athletic Training Room, Tuscaloosa AL 35487-0001. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kimbro, Sherry Lou can be contacted via phone (205) 348-4421.

Contact Information

Primary practice address
1201 Coliseum Drive Coliseum Athletic Training Room Tuscaloosa AL 35487-0001
Fax: (205) 348-4419
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 053 Alabama

Profile Details

NPI number 1962474775
LBN Legal business name Kimbro, Sherry Lou
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962474775 NPPES
Alabama Other 053 STATE LICENSE

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