Crowder, Kimberly Ann
Crowder, Kimberly Ann is an individual health care provider with primary practice located at 2500 N State St Suite B319, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Crowder, Kimberly Ann can be contacted via phone (601) 815-4788.Contact Information
Primary practice address
2500 N State St Suite B319
Jackson MS 39216-4500
Phone: (601) 815-4788
Fax: (601) 815-3773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17144 | Mississippi |
Profile Details
| NPI number | 1689614240 |
|---|---|
| LBN Legal business name | Crowder, Kimberly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689614240 | NPPES |
| Mississippi | MEDICAID | 04580379 | |
| Mississippi | Other | P00051393 |
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