Kim Edwards

NPI #1427409945 in Fort Polk, Louisiana

Provider Information

NPI Number: 1427409945
Entity Type: Individual
Name: Kim Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 27, 2016
Last Updated: Jun 27, 2016

Practice Location

Address: 7223 MISSISSIPPI AVENUE
City: Fort Polk
State: Louisiana
ZIP Code: 71459
Phone: (337) 531-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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