Lee, Kerry Todd

Lee, Kerry Todd is an individual health care provider with primary practice located at 1300 Sunset Dr Suite F, Grenada MS 38901-4086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Kerry Todd can be contacted via phone (662) 226-5747.

Contact Information

Primary practice address
1300 Sunset Dr Suite F Grenada MS 38901-4086
Phone: (662) 226-5747
Fax: (662) 226-5622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12517 Mississippi

Profile Details

NPI number 1467470799
LBN Legal business name Lee, Kerry Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 28th, 2010 - about 16 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 1467470799 NPPES
Mississippi Other 080175512 RAILROAD MEDICARE
Mississippi Other CH9466 RAILROAD MEDICARE
Mississippi MEDICAID 09014826 RAILROAD MEDICARE
Mississippi MEDICAID 09013778 RAILROAD MEDICARE
Mississippi Other 1700994738 RAILROAD MEDICARE
Mississippi Other 640835695 RAILROAD MEDICARE
Mississippi MEDICAID 0112670 RAILROAD MEDICARE

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