Individual provider · Type 1 NPI

Kyla Austin Richburg, NP

Pediatric Nurse Practitioner · Pascagoula, MS

NPI number 1366083040 Active

Practice location

2809 Denny Ave
Pascagoula, MS 39581-5300

Call (228) 809-5419 Map

Fax (228) 809-5076

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X903598 (MS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366083040

Kyla Austin Richburg, NP's National Provider Identifier is 1366083040, issued on Oct 3, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pascagoula, MS. The record was last updated on Mar 11, 2020.