Individual
MS. KIM L BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
101 DAY LILY DR, STARKVILLE, MS 39759-5588
(662) 312-5608
Mailing address
101 DAY LILY DR, STARKVILLE, MS 39759-5588
(662) 312-5608
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R744768
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116259
—
MS
Enumeration date
02/10/2006
Last updated
07/10/2015
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