Individual
KATHRYN GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E PRESLEY BLVD, MCCOMB, MS 39648-5908
(601) 684-1030
Mailing address
107 BELLE CV, MADISON, MS 39110-9651
(601) 248-2249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R546976
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124010
—
MS
Enumeration date
02/13/2007
Last updated
11/21/2017
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