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Contact Information

KIMBERLY K NESBITT, MD
8900 DELTA BLUFF CV
WALLS, MS38680-4400
 Phone: 662-510-4660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY K NESBITT · (Female)

NPI Number 1336285246
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2007
Last updated 10/20/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 25590
  • TN License # 30324
  • MS Medicaid 06435820
  • TN Medicaid 3833877
  • TN Other 3101380 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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