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Individual

MISS KIMBERLY M WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4502 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 863-9977
(228) 863-9912
Mailing address
4502 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 863-9977
(228) 863-9912

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R876822
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001174200
FL
05
07782252
MS
Enumeration date
03/09/2006
Last updated
08/07/2020
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