Individual
KAREN 'KIM' KIMBROUGH HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
404 LILLIE BURNEY ST, HATTIESBURG, MS 39401-5505
(601) 450-6500
(601) 450-6503
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 582-5461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R552887
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114268
—
MS
01
—
1043492770
FIREST CHOICE OF MISSISSIPPI
MS
01
—
7655461
AETNA
MS
01
—
8516441P01
CIGNA
MS
01
—
926458
UNITED HEALTH CARE
MS
Enumeration date
12/27/2005
Last updated
07/08/2011
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