Individual
KATHERINE KATE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 HIGHWAY 19 S, MERIDIAN, MS 39301-8209
(601) 462-4121
Mailing address
1666 HIGHWAY 19 S, MERIDIAN, MS 39301-8209
(601) 462-4121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903402
MS
363LG0600X
Gerontology Nurse Practitioner
902651
MS
363LP2300X
Primary Care Nurse Practitioner
902651
MS
Other
Enumeration date
01/29/2018
Last updated
08/07/2025
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