Provider Demographics
NPI:1134855364
Name:HOWTON -LANG, KIMBERLYN MONIQUE (RN)
Entity type:Individual
Prefix:
First Name:KIMBERLYN
Middle Name:MONIQUE
Last Name:HOWTON -LANG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6173 WOODBROOK LN
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3575
Mailing Address - Country:US
Mailing Address - Phone:205-370-8615
Mailing Address - Fax:
Practice Address - Street 1:6173 WOODBROOK LN
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3575
Practice Address - Country:US
Practice Address - Phone:205-370-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-069816163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management