Individual
DR. AUDREY L KRASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671
(662) 349-6577
(662) 349-6562
Mailing address
104 COURT STREET, SENATOBIA, MS 38668
(662) 562-4418
(662) 562-9024
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18650
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123983
—
MS
Enumeration date
08/24/2006
Last updated
07/08/2007
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