IndividualActive
Kyla Richburg, NP
NPI 1366083040 · Pediatric Nurse Practitioner · Pascagoula, MS
Provider details
- NPI number
- 1366083040
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 903598 (MS)
Practice location
2809 Denny Ave
Pascagoula, MS 39581-5300
Phone: (228) 809-5419
Fax: (228) 809-5076
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Registry dates
- Enumerated
- 2019-10-03
- Last updated
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.