Individual
KEYAUNDRIA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
92 LITTLE CREEK LN, COLUMBUS, MS 39702-4500
(662) 549-4732
Mailing address
92 LITTLE CREEK LN, COLUMBUS, MS 39702-4500
(662) 549-4732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
913500
MS
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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