Individual
KATHRYN PASTRELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL PARK DR, FULTON, MS 38843-9001
(662) 862-5200
(662) 862-5297
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14938
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120475
—
MS
Enumeration date
04/10/2006
Last updated
07/08/2007
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