Individual
KRISTI KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 KING RD, MERIDIAN, MS 39305-2533
(601) 282-8226
Mailing address
3901 KING RD, MERIDIAN, MS 39305-2533
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902832
MS
Other
Enumeration date
11/01/2019
Last updated
04/20/2020
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