Individual
MRS. KASEY PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
179 REYNOIR ST, BILOXI, MS 39530-3831
(228) 207-9737
(228) 207-9744
Mailing address
179 REYNOIR ST, BILOXI, MS 39530-3831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R882223
MS
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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