Individual
KYMBERLY LYNN STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11592 HIGHWAY 488, WALNUT GROVE, MS 39189-5202
(601) 562-5746
Mailing address
11592 HIGHWAY 488, WALNUT GROVE, MS 39189-5202
(601) 562-5746
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801785532
DRIVERS LICENSE
MS
Enumeration date
04/22/2021
Last updated
04/22/2021
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