Individual
KAYLA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GREENFIELD RD, NATCHEZ, MS 39120-8716
(601) 431-6239
Mailing address
119 GREENFIELD RD, NATCHEZ, MS 39120-8716
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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