Kim Lewis

NPI #1316172505 in Monticello, Mississippi

Provider Information

NPI Number: 1316172505
Entity Type: Individual
Name: Kim Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2009
Last Updated: May 18, 2009

Practice Location

Address: 1065 E BROAD ST
City: Monticello
State: Mississippi
ZIP Code: 39654-7703
Phone: (601) 587-1165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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