# HEALTHSTOP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023477080
- **Authorized official:** LILY C KAKISH CCRC, MBA (PRESIDENT)
- **Authorized official phone:** (251) 455-4192

## Contact information

- **Practice address:** 2490 PASS RD, BILOXI, MS 39531-2838
- **Practice address phone:** (228) 207-9967
- **Practice address fax:** (228) 273-1532
- **Mailing address:** 2490 PASS RD, BILOXI, MS 39531-2838
- **Mailing address phone:** (228) 207-9967
- **Mailing address fax:** (228) 273-1532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 04/21/2016