| Doctor Name: | MS. KIMBERLY DAWN NOLTE |
| NPI Number: | 1184809691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1-072405 |
| Business Practice Address: | 188 Hospital Dr Ste 402 Fairhope, AL - 365322043 |
| Business Phone Number: | 2519901740 |
| Business Fax Number: | 2519901747 |
| Mailing Address: | 188 Hospital Dr, Ste 402 FAIRHOPE |
| State: | AL |
| Postal Code: | 365322043 |
| Phone Number: | 2519901740 |
| Fax Number: | 2519901747 |
| NPI Enumeration Date: | 01/02/2008 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-072405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |