KIMBERLY N LACAP

GULFPORT, MS
NPI1407460157
Former NameKIMBERLY N BODIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904594)
Enumeration Date2020-09-01
Last Update Date2021-06-28
Business Address
KIMBERLY N LACAP
15190 COMMUNITY RD STE 230
GULFPORT, MS 39503-3483
Phone number: 228-206-1283
Mailing Address
KIMBERLY N LACAP
15190 COMMUNITY RD STE 230
GULFPORT, MS 39503-3483
Phone number: 228-206-1283