Kerby, Sean C
Kerby, Sean C is an individual health care provider with primary practice located at 12261 Highway 49 Suite 11, Gulfport MS 39503-2975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kerby, Sean C can be contacted via phone (228) 867-5185.Contact Information
Primary practice address
12261 Highway 49 Suite 11
Gulfport MS 39503-2975
Phone: (228) 867-5185
Fax: (228) 867-5189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34974 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20062 | Mississippi |
Profile Details
| NPI number | 1730268939 |
|---|---|
| LBN Legal business name | Kerby, Sean C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 10th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730268939 | NPPES |
| Mississippi | MEDICAID | 07885561 | |
| Mississippi | Other | DE2565 | |
| Mississippi | MEDICAID | 3861661 | |
| Mississippi | Other | P00344233 | |
| Mississippi | Other | 4114136 |
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