NPI 1629878731

Kimberly Bourgeois

Practitioner Attendant Care Provider Gulfport, MS

Practice location

Address: 3421 12th St, Gulfport, MS 39501-1606
Phone: (228) 229-9839

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1629878731
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2025
Record last updated: 17 Mar 2025

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.