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Individual

KENYA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
665 S PEAR ORCHARD RD STE 106-1090, RIDGELAND, MS 39157-4861
(769) 231-2997
Mailing address
665 S PEAR ORCHARD RD STE 106-1090, RIDGELAND, MS 39157-4861
(769) 231-2997

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907396
MS

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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