Individual
DR. KIMBERLY KERR INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2104 HARDY ST, HATTIESBURG, MS 39401
(601) 583-4004
(601) 583-4005
Mailing address
P.O. BOX 15068, HATTIESBURG, MS 39404-5068
(601) 583-4004
(601) 583-4005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3006-97
MS
Other
Enumeration date
05/14/2007
Last updated
11/07/2012
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