Ward, Kimberley Helen Morine

Ward, Kimberley Helen Morine is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ward, Kimberley Helen Morine can be contacted via phone (601) 815-8000.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 21549 Mississippi

Profile Details

NPI number 1073559100
LBN Legal business name Ward, Kimberley Helen Morine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 6th, 2017 - about 7 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 1073559100 NPPES
Mississippi MEDICAID 06852892
Mississippi Other P01034300
Mississippi Other P01402398

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