Search › Mississippi › 103TC2200X
Kayla Bates-Brantley
NPI 1700266947 · on the registry since 2015
Practice
- Address
- 1219 Blackjack Road
Mississippi State, MS 39762 - Phone
- (662) 325-0152
Additional practice sites
- 444 S 44th St, Omaha, NE
- 32 Millbranch Rd Ste 40, Hattiesburg, MS
Registry record
- Primary taxonomy
- 103TC2200X
103TC2200X
- Also registered as
- 103K00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-15
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