Individual
KAYE KILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
5160 GALAXIE DR, JACKSON, MS 39206-4308
(601) 713-0890
(601) 366-3415
Mailing address
5160 GALAXIE DR, JACKSON, MS 39206-4308
(601) 713-0890
(601) 366-3415
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R501565
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111588
—
MS
Enumeration date
06/11/2006
Last updated
08/12/2009
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