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NPI Code Detail

MEDICARE: KAYE KILLINGS CFNP

MEDICARE:   KAYE  KILLINGS  CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerR501565MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881636306
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYE KILLINGS CFNP
Provider Business Mailing Address
First Line : 5160 GALAXIE DR
Second Line :
City : JACKSON
State : MS
Zip : 39206-4308
Country : US
Telephone Number : 601-713-0890
Fax Number : 601-366-3415
Provider Business Practice Location Address
First Line : 5160 GALAXIE DR
Second Line :
City : JACKSON
State : MS
Zip : 39206-4308
Country : US
Telephone Number : 601-713-0890
Fax Number : 601-366-3415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/12/2009

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