Individual provider · Type 1 NPI
Kim T. Le
Nurse Practitioner · Gulfport, MS
Practice location
4500 13th St
Gulfport, MS 39501-2569
Mailing address
PO Box 1810
Gulfport, MS 39502-1810
Other practice locations
- 1240 Broad Ave Ste B, Gulfport, MS 39501-2416 · (601) 456-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 905128 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1346994183
Kim T. Le's National Provider Identifier is 1346994183, issued on Feb 10, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Jan 16, 2026.