Ragan, Kimberly J
Ragan, Kimberly J is an individual health care provider with primary practice located at 127 Grandview Dr , Madison MS 39110-7595. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ragan, Kimberly J can be contacted via phone (601) 853-7640.Contact Information
Primary practice address
127 Grandview Dr
Madison MS 39110-7595
Phone: (601) 853-7640
Fax: (601) 853-7614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 727 | Mississippi |
Profile Details
| NPI number | 1225024862 |
|---|---|
| LBN Legal business name | Ragan, Kimberly J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1225024862 | NPPES |
| Mississippi | MEDICAID | 04473866 |
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