Individual
DR. KATHY M. PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CFNP
Contact information
Practice address
4707 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2622
(601) 286-5551
(601) 286-5548
Mailing address
PO BOX 3724, MERIDIAN, MS 39303-3724
(601) 286-5551
(601) 286-5548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R801465
MS
Other
Enumeration date
10/20/2006
Last updated
02/25/2016
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