KIMBERLY GWEN METTETAL

SENATOBIA, MS
NPI1194911453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MS  R850409)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: MS  R850409)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MO  2018026553)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WI  8391-33)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OR  2018)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA  AP60842248)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MN  5816)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX  AP136974)
Enumeration Date2007-09-20
Last Update Date2021-09-04
Business Address
KIMBERLY GWEN METTETAL C.F.N.P. CPMHNP
309 W MAIN ST
SENATOBIA, MS 38668-2146
Phone number: 662-560-3101
Mailing Address
KIMBERLY GWEN METTETAL C.F.N.P. CPMHNP
309 W MAIN ST
SENATOBIA, MS 38668-2146
Phone number: 662-560-3101