Individual
KIMBERLY N LACAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15190 COMMUNITY RD STE 230, GULFPORT, MS 39503-3483
(228) 206-1283
Mailing address
15190 COMMUNITY RD STE 230, GULFPORT, MS 39503-3483
(228) 206-1283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904594
MS
Other
Enumeration date
09/01/2020
Last updated
06/28/2021
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