Individual
KATHLEEN E MINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
118 FAIRFIELD DR, NEW ALBANY, MS 38652
(662) 534-0898
(662) 534-8905
Mailing address
118 FAIRFIELD DR, NEW ALBANY, MS 38652
(662) 534-0898
(662) 534-8905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00318
MS
363AM0700X
Medical Physician Assistant
PA00318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006679856
—
MS
Enumeration date
10/17/2016
Last updated
04/05/2024
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