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Individual

KAYLORA L BINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
314 S 25TH AVE, HATTIESBURG, MS 39401-7301
(601) 255-8808
(866) 531-8054
Mailing address
314 S 25TH AVE, HATTIESBURG, MS 39401-7301
(601) 255-8808
(601) 255-8811

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874229
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04050575
MS
Enumeration date
11/04/2014
Last updated
04/11/2025
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