NPI 1063199750

Khandra Aries Ivy

Practitioner Phlebotomy Technician Okolona, MS

Practice location

Address: 127 Drive 156, Okolona, MS 38860-9677
Phone: (662) 760-3031

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X

Other Technician, Pathology providers in Mississippi →

Registry record

NPI: 1063199750
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2023
Record last updated: 3 Jul 2023

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.