Kayti A Booker CPNP

NPI 1730340563 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1730340563
Gender Female
Enumeration Date 06/24/2008
Last Updated 11/03/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1488 HWY 487 EAST
SEBASTOPOL MS, 39359-0150, US
Phone (601) 625-7403
Fax (601) 625-7404
Business Location
1488 HWY 487 EAST
PO BOX 150
SEBASTOPOL MS, 39359-0150, US
Phone (601) 625-7403
Fax (601) 625-7404
Toxanomy
Taxonomy Code 363LP0200X
License State Mississippi
License Number R864059
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According to our database, Kayti A Booker CPNP NPI is 1730340563, taxonomy code is 363LP0200X and license number is R864059, license state is located at Mississippi. Kayti A Booker CPNP physically located at 1488 Hwy 487 East, Sebastopol MS, 39359-0150. NPI Number Kayti A Booker CPNP has the Individual type.

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1730340563 NPI number is provided on an as is basis without warranty of any kind. 1730340563 is maintained by the National Plan & Provider Enumeration System. The contents of Kayti A Booker CPNP are for informational purposes only.