Individual provider · Type 1 NPI

Kimberly C. Boackle, CRNP

Family Nurse Practitioner · Birmingham, AL

NPI number 1174924880 Active

Practice location

1509 6th Ave S
Birmingham, AL 35233-1601

Fax (205) 930-3433

Mailing address

2147 Riverchase Office Rd
Hoover, AL 35244-1836

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-072947 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1174924880

Kimberly C. Boackle, CRNP's National Provider Identifier is 1174924880, issued on Sep 12, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, AL. The record was last updated on Jun 26, 2025.