Organization
DESOTO COUNTY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON KUYKENDALL (SUPERINTENDENT)
(662) 429-5271
Entity
Organization
Contact information
Practice address
HOPE SULLIVAN ELEMENATY, 7985 SOUTHAVEN CIRCLE WEST, SOUTHAVEN, MS 38671
(662) 393-2919
(662) 393-2920
Mailing address
5 E SOUTH ST, HERNANDO, MS 38632-2216
(662) 429-5271
(662) 449-1111
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R644978
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06807208
—
MS
Enumeration date
05/17/2007
Last updated
08/22/2020
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