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Individual

KATHERINE B PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T-2590
MS

Other

Enumeration date
06/29/2012
Last updated
06/29/2012
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