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MRS. KAMESHA DEES MOULTRY CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1649727850

Individual Registrant:
MRS. KAMESHA DEES MOULTRY CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
299 PRAIRIE ST N  UNION SPRINGS, AL 36089-1618 US
Tel: 334-738-7337  Fax: --

Contact information for business:
299 PRAIRIE ST N  UNION SPRINGS, AL 36089-1618 US
Tel: 334-738-7337  Fax: --

Registration Information:
NPI: 1649727850
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-101408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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