Individual provider · Type 1 NPI

Cordelia Kimble, SOCIAL WORKER INTERN

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1801619861 Active

Practice location

5345 Highway 18 W
Jackson, MS 39209-9421

Mailing address

PO Box 2305
Clinton, MS 39060-2305

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801619861

Cordelia Kimble, SOCIAL WORKER INTERN's National Provider Identifier is 1801619861, issued on Nov 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Nov 6, 2024.