Organization
KKARES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN THAMES NP (OWNER)
(601) 678-1065
Entity
Organization
Contact information
Practice address
3281 MOUNTAINVIEW PL STE C, MERIDIAN, MS 39301-9772
(601) 678-1065
Mailing address
11115 HILL THOMPSON RD, COLLINSVILLE, MS 39325-9313
(601) 678-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
04/08/2026
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