Individual
KATELYN HILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 DALTON DR, RIPLEY, MS 38663-7514
(662) 202-8653
Mailing address
103 DALTON DR, RIPLEY, MS 38663-7514
(662) 202-8653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
921974
MS
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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