Individual
MR. KEVIN ANDREW SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S, ATC
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2000
Mailing address
2088 LAKESHORE DR, RIDGELAND, MS 39157-1024
(601) 918-1950
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0700
MS
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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