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Contact Information

KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC
404 RIVERWIND DR STE B-1
PEARL, MS39208-5900
 Phone: 601-623-9245
 Fax: 601-623-9246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIDS FIRST PEDIATRIC ADULT MEDICINE LLC · (Female)

NPI Number 1285305060
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2021
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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