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Kimberly Coghlan Agent, FNP-C
Family Nurse Practitioner in Carthage, Mississippi
NPI 1871805820

Kimberly Coghlan Agent is a Family Nurse Practitioner based in Ridgeland, MS and is specialized in Family. Kimberly Coghlan Agent practices in Carthage, MS and has the professional credentials of FNP-C. The NPI Number for Kimberly Coghlan Agent is 1871805820 and holds a License No. R870206 (Mississippi).

The current practice location address for Kimberly Coghlan Agent is 407 S Valley St, Carthage, MS and can be reached out via phone at 601-298-0333.

Location: 407 S Valley St, Carthage, MS, 39157-4512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871805820
Provider Name
Kimberly Coghlan Agent
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
407 S Valley St, Carthage, MS, 39157-4512
Phone Number
601-298-0333
Fax Number
Provider Enumeration Date
07/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00150271 05 MS
institution
Provider Business Practice Location Address Details
Address
407 S Valley St
City
Carthage
State
Mississippi
Zip
39051-4051
Phone Number
601-298-0333
Fax Number
person
Provider Business Mailing Address Details
Address
407 S Valley St
City
Carthage
State
Mississippi
Zip
39051-4051
Phone Number
601-298-0333
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R870206 (Mississippi)
Definition
Definition to come...
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