Individual
KERRY LANCE HESSELRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
250 BEAUVOIR RD STE 5, BILOXI, MS 39531-4026
(228) 388-2599
Mailing address
9321 LIVE OAK AVE, OCEAN SPRINGS, MS 39564-8530
(228) 217-4977
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
16127
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
R770242
MS
Other
Enumeration date
06/14/2007
Last updated
08/21/2007
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