Kimbrell, Holly L

Kimbrell, Holly L is an individual health care provider with primary practice located at 513C Brookman Dr , Brookhaven MS 39601-2326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kimbrell, Holly L can be contacted via phone (601) 833-3822.

Contact Information

Primary practice address
513C Brookman Dr Brookhaven MS 39601-2326
Phone: (601) 833-3822
Fax: (601) 835-4330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R860084 Mississippi

Profile Details

NPI number 1093796328
LBN Legal business name Kimbrell, Holly L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Oct 1st, 2015 - about 9 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 1093796328 NPPES
Mississippi MEDICAID 02675521

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