KAYLA KIZZIAH TIDWELL

ALEXANDER CITY, AL
NPI1174020929
Former NameKAYLA DANIELLE KIZZIAH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-145314)
Enumeration Date2018-04-09
Last Update Date2020-12-26
Business Address
Mrs. KAYLA KIZZIAH TIDWELL CRNP
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010-3369
Phone number: 256-329-7100
Mailing Address
Mrs. KAYLA KIZZIAH TIDWELL CRNP
1034 S TALLASSEE ST
DADEVILLE, AL 36853-1844
Phone number: 256-825-9900
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