Individual
KIMBERLEY HELEN MORINE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8000
Mailing address
2500 N STATE ST, UMMC-DEPARTMENT OF DERMATOLOGY, JACKSON, MS 39216-4500
(601) 815-3374
(601) 853-6307
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21549
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06852892
—
MS
01
—
P01034300
RAILROAD MEDICARE
MS
01
—
P01402398
RR MEDICARE
MS
Enumeration date
06/20/2006
Last updated
10/06/2017
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