Individual ProviderKimberly Elaine DunnNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150(601) 336-7153(601) 336-7197PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Elaine Dunn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1437614187Provider TypeIndividualFull NameDunn, Kimberly ElaineGenderFemaleSole ProprietorNoEnumeration Date2/6/2019Last Updated2/6/2019Contact InformationPractice LocationPractice Address4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150Phone(601) 336-7153Fax(601) 336-7254Mailing LocationMailing Address127 Anita Dr, Hattiesburg, MS 39401-8411Phone(601) 336-7197FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense902410Mississippi