Kimberly Denise Rayburn, is a
Registered Nurse - Emergency based in Kosciusko, Mississippi. Kimberly Denise Rayburn is licensed to practice in Mississippi (license number 890687) and her current practice location is
220 Highway 12 W, Kosciusko, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 290-3333.
NPI number for Kimberly Denise Rayburn is 1740191477 and her current mailing address is 901 Kerr Adams Mills Rd, Louisville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740191477.
Provider's Profile
| Full Name | Kimberly Denise Rayburn |
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| Gender | Female |
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| Speciality | Registered Nurse - Emergency |
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| Location | 220 Highway 12 W, Kosciusko, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740191477
- Provider Enumeration Date: 09/14/2026
- Last Update Date: 09/14/2026
Medical Identifiers
Medical identifiers for Kimberly Denise Rayburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740191477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WE0003X | Registered Nurse - Emergency | 890687 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Denise Rayburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kimberly Denise Rayburn, 901 Kerr Adams Mills Rd, Louisville, MS 39339-8134 Ph: (850) 860-8655 | Kimberly Denise Rayburn, 220 Highway 12 W, Kosciusko, MS 39090-3208 Ph: (662) 290-3333 |
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