Individual
DR. KIM ELLIOT NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4555 HIGHLAND PARK DR, MERIDIAN, MS 39307-5429
(601) 581-7687
(601) 483-5543
Mailing address
PO BOX 4128, MERIDIAN, MS 39304-4128
(601) 581-7687
(601) 483-5543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20088
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02855315
—
MS
Enumeration date
04/29/2009
Last updated
01/17/2019
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