Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khandra Aries Ivy

Individual provider Phlebotomy Technician · NPI 1063199750

Khandra Aries Ivy is a Phlebotomy Technician in Okolona, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

127 Drive 156
Okolona, MS 38860-9677
Phone: (662) 760-3031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X

Record details

NPI number1063199750
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address127 Drive 156, Okolona, MS 38860-9677