Mcdaniel, Kay K

Mcdaniel, Kay K is an individual health care provider with primary practice located at 1901 Mission 66 , Vicksburg MS 39180-3711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdaniel, Kay K can be contacted via phone (601) 636-8244.

Contact Information

Primary practice address
1901 Mission 66 Vicksburg MS 39180-3711
Phone: (601) 636-8244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R829001 Mississippi

Profile Details

NPI number 1538100144
LBN Legal business name Mcdaniel, Kay K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 2nd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538100144 NPPES
Mississippi MEDICAID 00631507

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