Futral, Kimandria
Futral, Kimandria is an individual health care provider with primary practice located at 1929 Spillway Rd Ste A , Brandon MS 39047-6079. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Futral, Kimandria can be contacted via phone (601) 992-5370.Contact Information
Primary practice address
1929 Spillway Rd Ste A
Brandon MS 39047-6079
Phone: (601) 992-5370
Fax: (601) 992-5370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S1040 | Mississippi |
Profile Details
| NPI number | 1659590768 |
|---|---|
| LBN Legal business name | Futral, Kimandria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659590768 | NPPES |
| Mississippi | MEDICAID | 09625729 |
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