Ennis, Diana Kim
Ennis, Diana Kim is an individual health care provider with primary practice located at 100 Independence Dr. , Columbus MS 39710-0001. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Ennis, Diana Kim can be contacted via phone (662) 434-2181.Contact Information
Primary practice address
100 Independence Dr.
Columbus MS 39710-0001
Phone: (662) 434-2181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Women's Health Care, Ambulatory | 163WW0101X | APN0000006307 | Tennessee |
Profile Details
| NPI number | 1740246958 |
|---|---|
| LBN Legal business name | Ennis, Diana Kim |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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