Individual
KATHRYN B ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
(662) 234-2891
Mailing address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
(662) 234-2891
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R848503
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123149
—
MS
Enumeration date
09/27/2006
Last updated
07/09/2007
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