Provider Demographics
NPI:1154133858
Name:STYRON, KIMBERLEE MARIE (CD(DONA))
Entity type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:MARIE
Last Name:STYRON
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-4521
Mailing Address - Country:US
Mailing Address - Phone:334-282-2953
Mailing Address - Fax:
Practice Address - Street 1:102 CORAL WAY
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-4521
Practice Address - Country:US
Practice Address - Phone:334-282-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula