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Search › Mississippi › 363L00000X

Krystal Sitthivong, CNP

NPI 1205440898 · on the registry since 2020

Practice

Address
4500 13th St
Gulfport, MS 39501
Phone
(228) 867-4499
Fax
(228) 867-5027
Organisation at this address
Boles Llc
Etas, Pllc
Caredoc Llc
Care Doc Llc
Care Doc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
261

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-09

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