Individual
KARA M AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 STABLE LN, JACKSON, MS 39212-2582
(769) 218-6885
Mailing address
10 CANEBRAKE BLVD, FLOWOOD, MS 39232-2211
(769) 218-6885
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-2380684
—
MS
Enumeration date
01/19/2021
Last updated
01/19/2021
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