Search › Mississippi › 152W00000X
Kristin Fonseca, O.D
NPI 1477960763 · on the registry since 2014
Practice
- Address
- 726 Goodman Rd E Ste B
Southaven, MS 38671 - Phone
- (662) 349-1959
- Fax
- (662) 510-2391
- Organisation at this address
- Desoto Eyecare Inc
Desoto Eye Surgery Center Llc
Respirium Anesthesia Solutions LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- TN, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-13
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