Individual
KIMBERLY T SIMNICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
3688 VETERANS MEMORIAL DR, STE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7499
Mailing address
3688 VETERANS MEMORIAL DR, STE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R785277
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116081
—
MS
Enumeration date
09/26/2006
Last updated
03/30/2016
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