Kimberley Renee Yates
Occupational Therapist - Physical Rehabilitation
117 Ridgetop Cir
Flowood
, Mississippi 39232-7701
Kimberley Renee Yates
Occupational Therapist - Physical Rehabilitation
117 Ridgetop Cir
Flowood
, Mississippi 39232-7701
(601) 832-9650
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Kimberley Renee Yates
- 117 Ridgetop Cir
- Flowood, MS
- Zip : 39232-7701
- Phone : (601) 832-9650
Second Address
- Kimberley Renee Yates
- 117 Ridgetop Cir
- Flowood, MS
- Zip : 39232-7701
- Phone : (601) 832-9650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT0356 | MS |
National Provider Identifier
| NPI | 1225689391 |
|---|---|
| Provider Name | Kimberley Renee Yates |
| First Address | Flowood, MS 39232-7701 |
| Second Address | Flowood, MS 39232-7701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2019 |
| Last Update Date | 20/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.