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Individual

MR. KYLE KIMBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1568 HWY 178 E, NEW ALBANY, MS 38652
(662) 316-5409
Mailing address
P.O. BOX 364, NEW ALBANY, MS 38652
(662) 316-5409

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MS

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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