IndividualActive
Kimneesha Bolton
NPI 1417671983 · Day Training/Habilitation Specialist · Hattiesburg, MS
Provider details
- NPI number
- 1417671983
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1212 W 7th St
Hattiesburg, MS 39401-2822
Phone: (601) 544-0571
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.