Kaiser, Kenneth

Kaiser, Kenneth is an individual health care provider with primary practice located at 11 Professional Pkwy , Ridgeland MS 39157-4113. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kaiser, Kenneth can be contacted via phone (601) 856-2460.

Contact Information

Primary practice address
11 Professional Pkwy Ridgeland MS 39157-4113
Phone: (601) 856-2460
Fax: (601) 856-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R856338 Mississippi

Profile Details

NPI number 1073557039
LBN Legal business name Kaiser, Kenneth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073557039 NPPES
Mississippi MEDICAID 00125332
Mississippi Other 202011213A
Mississippi MEDICAID 00125332

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