Individual
TABITHA M KABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-0402
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-0402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1345
NE
Other
Enumeration date
03/03/2014
Last updated
04/26/2018
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