Provider Demographics
NPI:1093883126
Name:BELL, KIMBERLY SPENCER (CNM)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:SPENCER
Last Name:BELL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 FERST DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30332-0001
Mailing Address - Country:US
Mailing Address - Phone:404-894-1434
Mailing Address - Fax:404-894-8241
Practice Address - Street 1:740 FERST DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30332-1212
Practice Address - Country:US
Practice Address - Phone:404-894-1434
Practice Address - Fax:404-894-8241
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN104777176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife