Individual
KIMBERLY MICHELE MYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 290-3150
Mailing address
PO BOX 11407 DEPT 2639, BIRMINGHAM, AL 35246-2639
(601) 292-4562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
864405
MS
363L00000X
Nurse Practitioner
Primary
904201
MS
Other
Enumeration date
10/14/2020
Last updated
10/01/2024
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