Individual
KATHRYN K WIYGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 513-4399
(662) 513-4330
Mailing address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 513-4399
(662) 513-4330
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R888477
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00588235
—
MS
Enumeration date
01/12/2010
Last updated
12/28/2012
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