Individual
KATHERINE P ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5192 OLD HIGHWAY 11 STE 2, HATTIESBURG, MS 39402-6222
(601) 268-0929
(601) 261-0508
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-0929
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15464
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118702
—
MS
05
—
1582310
—
LA
01
—
2276169
AMERICAN ADMIN GROUP
MS
Enumeration date
07/27/2006
Last updated
07/17/2020
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