Kirby S Sewell, RN

Individual provider Active NPI Registered Nurse · Andalusia, AL

NPI 1023854445 · NPPES record last updated Jul 7, 2024

Key facts

NPI
1023854445
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1-160175 (AL)
Practice address
224 S Three Notch St
Andalusia, AL 36420-3710
Phone
(334) 343-6129
NPI assigned
Jul 4, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-160175ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Therapy Group, LLC Current Accepting new patients

Locations

224 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-1131

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-160175 AL Yes

Addresses

Primary practice location

224 S Three Notch St
Andalusia, AL 36420-3710

Mailing address

501 Sanford Rd
Andalusia, AL 36420-4123
Phone (606) 344-7997

Other providers in Andalusia, AL

All providers in Andalusia, AL · Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.