Outlaw, Kimberly B.
Outlaw, Kimberly B. is an individual health care provider with primary practice located at 603 Craft St , Holly Springs MS 38635-3250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Outlaw, Kimberly B. can be contacted via phone (662) 333-8070.Contact Information
Primary practice address
603 Craft St
Holly Springs MS 38635-3250
Phone: (662) 333-8070
Fax: (662) 333-8071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 903420 | Mississippi |
Profile Details
| NPI number | 1649829284 |
|---|---|
| LBN Legal business name | Outlaw, Kimberly B. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2019 |
| Last updated | Jun 11th, 2024 - about 5 months 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 | 1649829284 | NPPES |
| Mississippi | MEDICAID | 931617 |
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