Individual
KILEY MARISSA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042
(928) 737-6000
Mailing address
356 WOODSMOKE DR, SOUTHAVEN, MS 38671-5621
(901) 517-7755
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
883247
MS
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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