Whalio Doctors

NPI 1003370230

Kimberly M Cook

Practitioner Physician Assistant Jackson, MS

Practice location

Address
2500 N State St, Jackson, MS 39216-4500
Phone
(601) 815-1312
Mailing address
1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA.0006218 (CO)
Military Health Care Provider
Other Service Providers Taxonomy 171000000X
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA00757 (MS)

Registry record

NPI
1003370230
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jan 2019
Record last updated
12 Sep 2024

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.