Type 1 individualNPI 1003370230
KIMBERLY M COOK
363A00000X · JACKSON, MS
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 363A00000X | 363A00000X | Primary |
| 171000000X | 171000000X | Additional |
| 363AS0400X | 363AS0400X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s