Individual
DR. KIMBERLY G HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF HYPERTENSION, JACKSON, MS 39216-4500
(601) 984-6850
Mailing address
2500 N STATE ST, CBO-SUITE 4200, JACKSON, MS 39216-4500
(601) 496-9794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15503
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121807
—
MS
05
—
1390941
—
LA
01
—
P00462209
RAILROAD MEDICARE PTAN
MS
01
—
RR 110217436
RAILROAD
MS
Enumeration date
07/13/2006
Last updated
11/16/2020
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