Individual
MRS. KIMBERLY OWEN LOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4290 LAKELAND DR, SUITE A, FLOWOOD, MS 39232-9571
(601) 932-0083
(601) 932-8124
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4880
(601) 200-0988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R862120
MS
Other
Enumeration date
09/30/2009
Last updated
04/20/2018
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