IndividualActive
Aimee Kinnebrew
NPI 1205719630 · Optometrist · Vicksburg, MS
Provider details
- NPI number
- 1205719630
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1122 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1808 Mission 66
Vicksburg, MS 39180-3710
Phone: (601) 636-6364
Fax: (601) 636-1122
Approximate (ZIP-level) locationGet directions
Mailing address
1808 Mission 66
Vicksburg, MS 39180-3710
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.