Individual
AARON KATZENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7732 OLD CANTON RD, MADISON, MS 39110-9299
(601) 856-1262
Mailing address
7732 OLD CANTON RD, MADISON, MS 39110-9299
(601) 856-1262
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R872232
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07887213
—
MS
Enumeration date
06/10/2011
Last updated
09/09/2020
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