Individual
KAITLIN RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 BURKE ST, CALHOUN CITY, MS 38916-9675
(662) 628-5116
Mailing address
120 BURKE ST, CALHOUN CITY, MS 38916-9675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906175
MS
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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