Healthcare Provider Details

I. General information

NPI: 1487568218
Provider Name (Legal Business Name): KAYLA BUNCH HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA DANIELLE BUNCH FNP-BC

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6051 U S HIGHWAY 49
HATTIESBURG MS
39401-7200
US

IV. Provider business mailing address

166 MASON CREEK RD
TAYLORSVILLE MS
39168-4352
US

V. Phone/Fax

Practice location:
  • Phone: 601-288-7000
  • Fax:
Mailing address:
  • Phone: 601-410-8615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908803
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: