Tariq, Kathleen Brianne

Tariq, Kathleen Brianne is an individual health care provider with primary practice located at 1431 W 10Th St Ste 5 , Laurel MS 39440-2626. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tariq, Kathleen Brianne can be contacted via phone (601) 649-1437.

Contact Information

Primary practice address
1431 W 10Th St Ste 5 Laurel MS 39440-2626
Fax: (601) 649-1431
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1040 Mississippi

Profile Details

NPI number 1437670080
LBN Legal business name Tariq, Kathleen Brianne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Feb 1st, 2022 - about 4 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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