Individual
MS. KATHY R MCCOLUMN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5225 HIGHWAY 18 W, SUITE C, JACKSON, MS 39209-9420
(601) 487-8456
(601) 487-8664
Mailing address
5225 HIGHWAY 18 W, SUITE C, JACKSON, MS 39209-9420
(601) 487-8456
(601) 487-8664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 0908
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05453592
—
MS
Enumeration date
11/16/2006
Last updated
03/06/2012
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