Individual
DR. KIMBERLY SIMMONS SULLIVAN
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) 984-5338
(601) 815-4112
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5338
(601) 815-4112
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
2024-02098
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
T-3432
MS
Other
Enumeration date
05/04/2017
Last updated
08/13/2024
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