Kimberly Arlisa Morrissette

Individual provider Active NPI Contractor · Bessemer, AL

NPI 1366085524 · NPPES record last updated Oct 21, 2019

Key facts

NPI
1366085524
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
6288 Letson Farms Dr
Bessemer, AL 35022-7023
Phone
(205) 523-5664
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Forward Support Services LLC Current
since Nov 15, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

6288 Letson Farms Dr
Bessemer, AL 35022-7023

Mailing address

6288 Letson Farms Dr
Bessemer, AL 35022-7023
Phone (205) 523-5664

Other names

  • Kimberly Arlisas Smith Former name

Other providers in Bessemer, AL

All providers in Bessemer, AL · Contractor in Alabama

Sources for this page

Verify at the official NPI Registry.