Individual
MISS KATHY HALEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 COUNTY ROAD 1053, BOONEVILLE, MS 38829-7726
(662) 554-8981
(662) 869-0020
Mailing address
5 COUNTY ROAD 1053, BOONEVILLE, MS 38829-7726
(662) 554-8981
(662) 869-0020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1111817
MS
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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