Whalio Doctors

NPI 1083265284

Kidz 1st Clinic, LLC

Organisation Rural Health Clinic/Center Yazoo City, MS

Practice location

Address
321 E Fifteenth St, Yazoo City, MS 39194-2631
Phone
(662) 532-1543

Authorised official

Name
Tiffany Allison Bowen
Title
Owner
Phone
(662) 532-1543

Registered specialties (2)

Rural Health Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR1300X
Pediatric Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X

Registry record

NPI
1083265284
Entity type
Organization
NPI issued
27 Sep 2019
Record last updated
31 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.