Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 21122 | MS |
NPI | 1023063955 |
---|---|
Provider Name | Mrs. Kay Elizabeth Midler |
First Address | Flowood, MS 39232 |
Second Address | Flowood, MS 39232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 03/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00452051 | (05) | MS |
329677218A | (05) | GA |
I40257 | (02) | |
I40257 | (02) | GA |