Organization
KC LTC GERIATRIC SPECIALTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RATCLIFF ACNP (MEMBER)
(662) 251-1550
Entity
Organization
Contact information
Practice address
1312 NIVENS RD, BENTON, MS 39039-9132
(662) 251-1550
Mailing address
1312 NIVENS RD, BENTON, MS 39039-9132
(662) 251-1550
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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