Individual
KYLA IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1480 S GALLATIN ST, JACKSON, MS 39201-6311
(601) 207-2410
(601) 603-9981
Mailing address
1480 S GALLATIN ST, JACKSON, MS 39201-6311
(601) 207-2410
(601) 603-9981
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1280521
MS
Other
Enumeration date
05/11/2021
Last updated
01/30/2024
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