Mcdaniel, Kori

Mcdaniel, Kori is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mcdaniel, Kori can be contacted via phone (601) 200-4644.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-4644
Fax: (601) 200-4645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116027608 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25441 Mississippi

Profile Details

NPI number 1255740791
LBN Legal business name Mcdaniel, Kori
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2014
Last updated Jul 10th, 2019 - about 7 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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