DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIDS AVENUE PEDIATRICS LLC

Active Organization

KIDS AVENUE PEDIATRICS LLC is a Nurse Practitioner organization located in BRANDON, Mississippi. NPI 1154092690 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BRANDON, MS

Registration Details

NPI Number
1154092690
Provider Type
Organization
NPI Issued
Sep 24, 2021 (4.9012558646239 yrs)
Last Updated
Sep 24, 2021

Practice Information

Address
1061 LAKE VILLAGE CIR STE D1
BRANDON, MS, 390476723
Browse MS providers · Browse ZIP 39047
Phone
6019410699
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Organizations in BRANDON, MS

Name NPI
RANKIN EMERGENCY GROUP LLC 1245339746
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.