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
Fax: (601) 815-3773
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689614240 NPPES
Mississippi MEDICAID 04580379
Mississippi Other P00051393

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