Desoto County School District

Organization Active NPI School Registered Nurse · Hernando, MS

NPI 1114134178 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1114134178
Entity type
Organization (NPI type 2)
Primary specialty
School Registered Nurse 163WS0200X
License
R820729 (MS)
Legal business name
DESOTO COUNTY SCHOOL DISTRICT
Practice address
455 Riley Street
Hernando Elementary School
Hernando, MS 38632
Phone
(662) 429-4160
Fax
(662) 429-4114
NPI assigned
May 17, 2007
Organization subpart
No

Authorized official

Name
Mr. Milton Kuykendall
Title
Superintendent
Phone
(662) 429-5271

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Desoto County Schools (4 organizations share this tax ID)

Locations

455 Riley St
Hernando, MS 38632
Phone (662) 429-4160

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WS0200X R820729 MS Yes

Addresses

Primary practice location

455 Riley Street
Hernando Elementary School
Hernando, MS 38632

Mailing address

5 E South St
Hernando, MS 38632-2216
Phone (662) 429-5271

Other identifiers

IdentifierTypeStateIssuer
05031001MedicaidMS

Other providers in Hernando, MS

All providers in Hernando, MS · School Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.