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

Kimberly Bourgeois

Individual provider Attendant Care Provider · NPI 1629878731

Kimberly Bourgeois is an Attendant Care Provider in Gulfport, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3421 12th St
Gulfport, MS 39501-1606
Phone: (228) 229-9839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1629878731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address3421 12th St, Gulfport, MS 39501-1606

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