IndividualActive
Kimberly Patrick
NPI 1639685639 · Licensed Practical Nurse · Petal, MS
Kimberly Patrick is a Licensed Practical Nurse provider in Petal, MS (NPI 1639685639).
Provider details
- NPI number
- 1639685639
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 931616 (MS)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15 Sunline Dr
Petal, MS 39465-9029
Phone: (601) 325-1107
Street-level locationGet directions
Mailing address
635 Hampshire Dr
Brandon, MS 39047-7797
Registry dates
- Enumerated
- 2017-12-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Kimberly Patrick's NPI number?
- Kimberly Patrick's National Provider Identifier (NPI) is 1639685639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Patrick's specialty?
- Kimberly Patrick is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Kimberly Patrick located?
- Kimberly Patrick's practice location on file with NPPES is 15 Sunline Dr, Petal, MS 39465-9029.
- What is Kimberly Patrick's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Patrick is (601) 325-1107.
- Is Kimberly Patrick's NPI active?
- Yes — Kimberly Patrick's NPI (1639685639) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.