Individual
KATHY RENEE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
990 HIGHWAY 29, WIGGINS, MS 39577-8430
(662) 229-8129
Mailing address
990 HIGHWAY 29, WIGGINS, MS 39577-8430
(662) 229-8129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903609
MS
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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