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1023319936
KISHA L KNIGHT
HATTIESBURG, MS
NPI
1023319936
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Other Name
KISHA L WALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R863895)
Enumeration Date
2010-11-09
Last Update Date
2014-04-01
Business Address
-- KISHA L KNIGHT FNP-BC
404 LILLIE BURNEY ST
HATTIESBURG, MS 39401-5505
Phone number: 601-450-6500
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Mailing Address
-- KISHA L KNIGHT FNP-BC
PO BOX 1729
HATTIESBURG, MS 39403-1729
Phone number: 601-545-3700
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