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Individual

MR. KEM P MOULARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
150 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5107
(601) 492-4001
(601) 442-3451
Mailing address
150 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5107
(601) 492-4001
(601) 442-3451

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906860
MS

Other

Enumeration date
08/08/2024
Last updated
06/11/2025
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