Individual
KRISTEN LEGGETT GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 LAKESHORE DR APT J102, BRANDON, MS 39047-6188
(601) 954-1619
Mailing address
111 LAKESHORE DR APT J102, BRANDON, MS 39047-6188
(601) 954-1619
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
R894530
MS
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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