Individual
KIMBERLY MAYO POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 377-7116
(318) 377-9979
Mailing address
183 WELL SPRING RD, CALHOUN, LA 71225-8540
(318) 235-8571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213733
LA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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