Organization
RANKIN FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY OWEN LOE CFNP (CFNP)
(601) 825-3074
Entity
Organization
Contact information
Practice address
201 N COLLEGE ST, SUITE 102, BRANDON, MS 39042-4437
(601) 825-3074
(601) 825-7296
Mailing address
201 N COLLEGE ST, SUITE 102, BRANDON, MS 39042-4437
(601) 825-3074
(601) 825-7296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R862120
MS
Other
Enumeration date
11/17/2011
Last updated
12/20/2011
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