Mccloud, Kimberly Anne
Mccloud, Kimberly Anne is an individual health care provider with primary practice located at 1167 E Broad St , Monticello MS 39654-7682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccloud, Kimberly Anne can be contacted via phone (601) 587-1433.Contact Information
Primary practice address
1167 E Broad St
Monticello MS 39654-7682
Phone: (601) 587-1433
Fax: (601) 587-1625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R874765 | Mississippi |
Profile Details
| NPI number | 1487034849 |
|---|---|
| LBN Legal business name | Mccloud, Kimberly Anne |
| Credentials | MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2015 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487034849 | NPPES |
| Mississippi | MEDICAID | 09501028 |
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