Reid, Kenneth J.
Reid, Kenneth J. is an individual health care provider with primary practice located at 1710 14Th St , Meridian MS 39301-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reid, Kenneth J. can be contacted via phone (601) 482-9211.Contact Information
Primary practice address
1710 14Th St
Meridian MS 39301-4140
Phone: (601) 482-9211
Fax: (601) 482-9497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 09031 | Mississippi |
Profile Details
| NPI number | 1770565798 |
|---|---|
| LBN Legal business name | Reid, Kenneth J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1770565798 | NPPES |
| Mississippi | MEDICAID | 00115342 | |
| Mississippi | Other | 731-01758 |
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