Rayborn, Kimberly P.

Rayborn, Kimberly P. is an individual health care provider with primary practice located at 394 Courthouse Rd Suite A, Gulfport MS 39507-1865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rayborn, Kimberly P. can be contacted via phone (228) 896-4417.

Contact Information

Primary practice address
394 Courthouse Rd Suite A Gulfport MS 39507-1865
Phone: (228) 896-4417
Fax: (228) 604-0121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R867582 Mississippi

Profile Details

NPI number 1578733986
LBN Legal business name Rayborn, Kimberly P.
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2008
Last updated Jul 10th, 2014 - about 12 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 1578733986 NPPES
Mississippi MEDICAID 04709739

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