Individual
KIMBERLY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3862
(228) 376-0082
Mailing address
20041 TOURNAMENT CV N, GULFPORT, MS 39503-9594
(228) 243-8642
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
869414
MS
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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