Individual
MICAH KENNEDY CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
309 LLEWELLYN AVE, MCCOMB, MS 39648-2703
(601) 682-7623
Mailing address
309 LLEWELLYN AVE, MCCOMB, MS 39648-2703
(601) 684-7623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904879
MS
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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