Organization · Type 2 NPI

KC LTC Geriatric Specialty PLLC

Acute Care Nurse Practitioner · Benton, MS

NPI number 1659704518 Active

Practice location

1312 Nivens Rd
Benton, MS 39039-9132

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XNone listed

Acute Care Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1659704518

KC LTC Geriatric Specialty PLLC's National Provider Identifier is 1659704518, issued on Aug 14, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Benton, MS. The record was last updated on Aug 14, 2013.