Kimberly Raye Mcdonald
Pediatrician Clinical Genetics (M.D.) Child Neurologist
2500 N State St
Jackson
, Mississippi 39216-4500
Kimberly Raye Mcdonald
Pediatrician Clinical Genetics (M.D.) Child Neurologist
2500 N State St
Jackson
, Mississippi 39216-4500
(601) 815-4942
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Kimberly Raye Mcdonald
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 815-4942
- Phone : (601) 984-5210
Second Address
- Kimberly Raye Mcdonald
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 815-4942
- Phone : (601) 984-5210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | 25161 | MS |
| N | 208000000X | Pediatrician | 25161 | MS |
| Y | 2084N0402X | Child Neurologist | 25161 | MS |
National Provider Identifier
| NPI | 1598077430 |
|---|---|
| Provider Name | Kimberly Raye Mcdonald |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Jackson, MS 39216-4500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2010 |
| Last Update Date | 17/03/2018 |
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.