Cook, Kimberly M

Cook, Kimberly M is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cook, Kimberly M can be contacted via phone (601) 815-1312.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00757 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0006218 Colorado

Profile Details

NPI number 1003370230
LBN Legal business name Cook, Kimberly M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2019
Last updated Sep 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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