Individual
KAILYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-8701
(601) 499-8591
Mailing address
930 RUTHERFORD DR, JACKSON, MS 39206-2008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-101759
MS
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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