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K Mcdaniel Inc
Primary Care Nurse Practitioner in Vicksburg, Mississippi
NPI 1639597966

K Mcdaniel Inc is a Primary Care Nurse Practitioner based in Vicksburg, MS and is specialized in Primary Care. K Mcdaniel Inc practices in Vicksburg, MS. The NPI Number for K Mcdaniel Inc is 1639597966 and holds a License No. R829001 (Mississippi).

The current practice location address for K Mcdaniel Inc is 1901 Mission 66, Vicksburg, MS and can be reached out via phone at 601-636-0097 and via fax at 601-629-9969.

Location: 1901 Mission 66, Vicksburg, MS, 39180-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639597966
Provider Name
K Mcdaniel Inc
Credential
Provider Entity Type
Organization
Address
1901 Mission 66, Vicksburg, MS, 39180-3711
Phone Number
601-636-0097
Fax Number
601-629-9969
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00778511 05 MS
institution
Provider Business Practice Location Address Details
Address
1901 Mission 66
City
Vicksburg
State
Mississippi
Zip
39180-3711
Phone Number
601-636-0097
Fax Number
601-629-9969
person
Provider Business Mailing Address Details
Address
1901 Mission 66
City
Vicksburg
State
Mississippi
Zip
39180-3711
Phone Number
601-636-0097
Fax Number
601-629-9969
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
R829001 (Mississippi)
Definition
Definition to come...
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