Provider Demographics
NPI:1518005388
Name:KAUVEIYAKUL-FOX, CINDI (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CINDI
Middle Name:
Last Name:KAUVEIYAKUL-FOX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:CINDI
Other - Middle Name:
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:3230 CUMBERLAND RD
Mailing Address - Street 2:APT 187
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3248
Mailing Address - Country:US
Mailing Address - Phone:601-862-0277
Mailing Address - Fax:
Practice Address - Street 1:3434 BIENVILLE BLVD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5732
Practice Address - Country:US
Practice Address - Phone:228-875-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPA00086363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant