Provider Demographics
NPI:1861210486
Name:POPE, KIMBERLY QUIMBY (CNM)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:QUIMBY
Last Name:POPE
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 1:1725 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2249
Mailing Address - Country:US
Mailing Address - Phone:251-943-2141
Mailing Address - Fax:251-949-3453
Practice Address - Street 1:1725 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2249
Practice Address - Country:US
Practice Address - Phone:251-943-2141
Practice Address - Fax:251-949-3453
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-073557367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife