Individual
AMANDA KATHLEEN HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
837 KINGS CROSSING DR, TUPELO, MS 38804-0954
(662) 269-4175
Mailing address
837 KINGS CROSSING DR STE 10, TUPELO, MS 38804-0952
(662) 269-4175
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1092P-Y
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/13/2024
Last updated
08/21/2024
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