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Individual
KEVIN RAY MIMS
Active
Individual
KEVIN RAY MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
247198
SC
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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