Alexis, Katherine P

Alexis, Katherine P is an individual health care provider with primary practice located at 5192 Old Highway 11 Ste 2 , Hattiesburg MS 39402-6222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Alexis, Katherine P can be contacted via phone (601) 268-0929.

Contact Information

Primary practice address
5192 Old Highway 11 Ste 2 Hattiesburg MS 39402-6222
Phone: (601) 268-0929
Fax: (601) 261-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15464 Mississippi

Profile Details

NPI number 1861416042
LBN Legal business name Alexis, Katherine P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861416042 NPPES
Mississippi MEDICAID 00118702
Mississippi MEDICAID 1582310
Mississippi Other 2276169

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