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Kimberly Johnson
Driver in Southaven, Mississippi
NPI 1750866992

Kimberly Johnson is a Driver based in Southaven, MS. Kimberly Johnson practices in Southaven, MS. The NPI Number for Kimberly Johnson is 1750866992 and holds a License No. (Mississippi).

The current practice location address for Kimberly Johnson is 3030 Marcia Louise Dr, Southaven, MS and can be reached out via phone at 901-661-0159. You can also correspond with Kimberly Johnson through the mailing address at 3030 MARCIA LOUISE DR, SOUTHAVEN, MS - 38672-6750 (mailing address contact number: 901-661-0159).

Location: 3030 Marcia Louise Dr, Southaven, MS, 38672-6750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750866992
Provider Name
Kimberly Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3030 Marcia Louise Dr, Southaven, MS, 38672-6750
Phone Number
901-661-0159
Fax Number
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3030 Marcia Louise Dr
City
Southaven
State
Mississippi
Zip
38672-6750
Phone Number
901-661-0159
Fax Number
person
Provider Business Mailing Address Details
Address
3030 Marcia Louise Dr
City
Southaven
State
Mississippi
Zip
38672-6750
Phone Number
901-661-0159
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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