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Organization

DESOTO COUNTY SCHOOL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MILTON KUYKENDALL (SUPERINTENDENT)
(662) 429-5271
Entity
Organization

Contact information

Practice address
455 RILEY STREET, HERNANDO ELEMENTARY SCHOOL, HERNANDO, MS 38632
(662) 429-4160
(662) 429-4114
Mailing address
5 E SOUTH ST, HERNANDO, MS 38632-2216
(662) 429-5271
(662) 429-4198

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R820729
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05031001
MS
Enumeration date
05/17/2007
Last updated
08/22/2020
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