Individual
TRACEY KINSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 HIGHLAND COVE PL, RIDGELAND, MS 39157-1522
(601) 853-8388
Mailing address
1048 HIGHLAND COVE PL, RIDGELAND, MS 39157-1522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09893
MS
Other
Enumeration date
09/20/2010
Last updated
05/28/2015
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