Individual
MRS. HOLLY L KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
513C BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-3822
(601) 835-4330
Mailing address
513C BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-3822
(601) 835-4330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R860084
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02675521
—
MS
Enumeration date
11/14/2005
Last updated
10/01/2015
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