Nagel, Kim Elliot
Nagel, Kim Elliot is an individual health care provider with primary practice located at 4555 Highland Park Dr , Meridian MS 39307-5429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nagel, Kim Elliot can be contacted via phone (601) 581-7687.Contact Information
Primary practice address
4555 Highland Park Dr
Meridian MS 39307-5429
Phone: (601) 581-7687
Fax: (601) 483-5543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20088 | Mississippi |
Profile Details
| NPI number | 1235373663 |
|---|---|
| LBN Legal business name | Nagel, Kim Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2009 |
| Last updated | Jan 17th, 2019 - about 5 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 | 1235373663 | NPPES |
| Mississippi | MEDICAID | 02855315 |
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