Provider Demographics
NPI:1134017098
Name:PEARMAN, KIMBERLY WINCEY (RN)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:WINCEY
Last Name:PEARMAN
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 1:145 KEYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2456
Mailing Address - Country:US
Mailing Address - Phone:256-804-9070
Mailing Address - Fax:
Practice Address - Street 1:145 KEYSTONE DR
Practice Address - Street 2:
Practice Address - City:MERIDIANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35759-2456
Practice Address - Country:US
Practice Address - Phone:256-804-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-104874163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse