Individual
KELLY KIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(318) 649-6181
Mailing address
PO BOX 579, SUMMIT, MS 39666-0579
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2999
MS
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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