NPI 1104231695

Kyle Kimbrough, PAC

Practitioner Physician Assistant New Albany, MS

Practice location

Address: 1568 Hwy 178 E, New Albany, MS 38652
Phone: (662) 316-5409
Mailing address: P.O. Box 364, New Albany, MS 38652

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1104231695
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2014
Record last updated: 24 Jun 2014

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.