SearchMississippi225700000X

Kanalu Avery, LICENSED MT

NPI 1811874712 · on the registry since 2025 · sole proprietor

Practice

Address
143 Breckenridge Dr
Oxford, MS 38655
Phone
(662) 380-1320

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-20

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