Kimberly Tyner, NP-C

NPI 1922469063 · on the registry since 2016

Practice

Address: 514 E Woodrow Wilson Ave Ste F
Jackson, MS 39216
Phone: (601) 982-3132
Fax: (601) 982-3136
Organisation at this address: Kelly Family Dentistry
Clinton Wellness Center Llc
Central Mississippi Sitter Service Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi