Individual
KAYTI A POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1488 HWY 487 EAST, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Mailing address
1488 HWY 487 EAST, PO BOX 150, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R864059
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06685060
—
MS
Enumeration date
06/24/2008
Last updated
04/12/2017
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