Kenneth A Grinspun, M.D. P.A.

LBN: Kenneth A Grinspun, M.D. P.A.
Kenneth A Grinspun, M.D. P.A. is an health care organization with primary practice located at 1464 Medical Park Cir , Tupelo MS 38801-6595. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kenneth A Grinspun, M.D. P.A. can be contacted via phone (662) 844-8699, or through Grinspun, Kenneth A via phone (662) 844-8699.

Contact Information

Primary practice address
1464 Medical Park Cir Tupelo MS 38801-6595
Phone: (662) 844-8699
Fax: (662) 844-7087
Website:
Map and Directions
Authorized official contact:
Name: Grinspun, Kenneth A Doctor of Medicine (MD)
Phone: (662) 844-8699

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16020 Mississippi

Profile Details

NPI number 1063536126
LBN Legal business name Kenneth A Grinspun, M.D. P.A.
DBA Doing business as
Authorized official Grinspun, Kenneth A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063536126 NPPES
Mississippi MEDICAID 9016045

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