Organization
KLS MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRICIA L SMITH (CEO/ADMINISTRATOR)
(901) 591-5567
Entity
Organization
Contact information
Practice address
13220 OLD LOCKE RD, OLIVE BRANCH, MS 38654-6777
(901) 591-5567
Mailing address
PO BOX 1664, SOUTHAVEN, MS 38671-0018
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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