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Individual

MS. KIMBERLY RENEE LEMASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
111 MAGNOLIA STREET, MAGNOLIA, MS 39652
(601) 783-2374
(601) 783-5126
Mailing address
2152 MAGNOLIA-PISGAH RD., SUMMIT, MS 39666
(601) 248-4609
(601) 783-5126

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R743305
MS
363LF0000X
Family Nurse Practitioner
Primary
R743305
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02853573
MS
Enumeration date
12/28/2006
Last updated
11/04/2020
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