DR. KIMBERLY KERR INGRAM (NPI# 1992911598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992911598 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY KERR INGRAM |
| Credential | D.M.D. |
| Practice Address |
2104 Hardy St Hattiesburg MS 39401 |
| Mailing Address |
P.o. Box 15068 Hattiesburg MS 39404-5068 |
| Practice Telephone | 6015834004 |
| Practice Fax Number | 6015834005 |
| Mailing Telephone | 6015834004 |
| Mailing Fax Number | 6015834005 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3006-97 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564137 | Kimberly Charon Ingram | Registered Nurse | 410 Kensington Rd, Columbus, GA 31907-5455 | 2020-10-06 |
| 1710907779 | Kimberly Joyce Ingram | Social Worker | Va Hospital PCg2, 3495 Bailey Ave, Buffalo, NY 14215 | 2006-07-20 |
| 1992303671 | Kimberly Michelle Ingram | Counselor | 1121 N Dixie Fwy, New Smyrna Beach, FL 32168-6069 | 2020-10-14 |
| 1417308032 | Kimberly Ingram | Social Worker | 4255 Northfield Rd, Highland Hills, OH 44128-2811 | 2016-06-24 |
| 1700962628 | Kimberly Gale Ingram | Dentist | 9533 Southwest Fwy, Houston, TX 77074-1409 | 2006-10-31 |
| Street Address |
2104 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588712905 | Pamela M Cameron | Social Worker | 2104 Hardy St, Ste B, Hattiesburg, MS 39401 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1588140610 | Amadia J Giles | Dentist | 6668 U S Highway 98 Ste G, Hattiesburg, MS 39402-7982 | 2018-07-11 |
| 1780176677 | Samuel Eric Johnson | Dentist | 5128 Old Highway 11 Ste 7, Hattiesburg, MS 39402-6234 | 2018-06-05 |
| 1093234684 | John Davis | Dentist | 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 | 2017-09-14 |
| 1194166017 | Zachariah Lea Crawford | Dentist | 47 E Lake Rd, Hattiesburg, MS 39402-7706 | 2013-07-08 |
| 1154760510 | Bluebonnet Dental Care Hattiesburg LLC | Dentist | 6668 Hwy 98 West Ste G, Hattiesburg, MS 39402 | 2013-06-19 |
| 1285999367 | Elise Burton Graham | Dentist | 4301 Lincoln Rd, Suite 10, Hattiesburg, MS 39402-3036 | 2012-07-05 |
| 1215251673 | Barnes Family Dentistry | Dentist | 5910 Highway 49, Ste 15, Hattiesburg, MS 39401-7585 | 2010-03-15 |
| 1154561728 | Lake Serene Family Dental Clinic | Dentist | 6668 U S Highway 98, Ste. G, Hattiesburg, MS 39402-7981 | 2009-02-23 |
| 1508014176 | Felder E Wallace | Dentist | 6194 Hwy 98 West, Hattiesburg, MS 39402 | 2008-09-08 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.