Individual
DR. KIMBERLY ANN CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, SUITE B319, JACKSON, MS 39216-4500
(601) 815-4788
(601) 815-3773
Mailing address
2500 N STATE ST, SUITE B319, JACKSON, MS 39216-4500
(601) 984-5022
(601) 815-3773
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17144
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04580379
—
MS
01
—
P00051393
RAILROAD MEDICARE
MS
Enumeration date
06/08/2006
Last updated
07/01/2013
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