Organization
KATHY EVANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY J EVANS PMHNP-BC (OWNER)
(662) 620-7102
Entity
Organization
Contact information
Practice address
210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
(662) 255-0467
(662) 620-7106
Mailing address
210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
(662) 255-0467
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R543446
MS
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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