Individual
KIMBERLY PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
136 COUNTY ROAD 1752, SALTILLO, MS 38866-8863
(662) 871-9591
Mailing address
136 COUNTY ROAD 1752, SALTILLO, MS 38866-8863
(662) 871-9591
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907315
MS
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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