Individual
HOLLY MARIE KINGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 BAUXITE CV, BRANDON, MS 39047-6509
(662) 695-1010
Mailing address
609 BAUXITE CV, BRANDON, MS 39047-6509
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
23385
MS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
23385
MS
Other
Enumeration date
06/22/2009
Last updated
11/19/2014
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