Provider Demographics
NPI:1366302184
Name:HARBOUR, KALEIGH (FLIGHT RN, NRP)
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:
Last Name:HARBOUR
Suffix:
Gender:F
Credentials:FLIGHT RN, NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 HIGHWAY 51 SOUTH NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-9221
Mailing Address - Country:US
Mailing Address - Phone:601-984-4367
Mailing Address - Fax:
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-4367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS921217163WF0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WF0300XNursing Service ProvidersRegistered NurseFlightGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSM5154072OtherPARAMEDIC
MS921217OtherRN