All Medicaid billing entities listing WIXSON, KIM (MRS.) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | COTTONPORT CORNER DRUG LLC | COTTONPORT, LA | Pharmacy | $0.00 |