Individual
DR. DANYELLE KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 HIGHWAY 43 S, PICAYUNE, MS 39466-9297
(601) 889-9509
Mailing address
1505 HIGHWAY 43 S, PICAYUNE, MS 39466-9297
(601) 889-9509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15160
MS
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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