Search › Louisiana › 183500000X
Kimberly Wixson
NPI 1528468808 · on the registry since 2014
Practice
- Address
- 206 Choupique Ln
Cottonport, LA 71327 - Phone
- (318) 876-3665
- Fax
- (318) 876-2429
- Organisation at this address
- Eddie'S Pharmacy, Inc.
Cottonport Corner Drug LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-24
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 Louisiana