Kim'Eika Crosby, LIFESTYLE COACH

Individual provider Active NPI Health & Wellness Coach · Canton, MS

NPI 1003689175 · NPPES record last updated Nov 1, 2023

Key facts

NPI
1003689175
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
Fax
(601) 859-8771
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Yes

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

Other providers in Canton, MS

All providers in Canton, MS · Health & Wellness Coach in Mississippi

Sources for this page

Verify at the official NPI Registry.