Individual
MRS. AMBREA KAITLYN BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
83 E BARTLET WAY, HATTIESBURG, MS 39402
(601) 447-2228
Mailing address
83 E BARTLET WAY, HATTIESBURG, MS 39402
(601) 447-2228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2075
MS
133V00000X
Registered Dietitian
Primary
86117091
MS
Other
Enumeration date
10/22/2024
Last updated
02/19/2026
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