# KIDNEY DISEASE & HYPERTENSION CENTERS, PA

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

## Provider details

- **NPI number:** 1568491728
- **Authorized official:** DR. JOEL R BRUNT MD (PRESIDENT)
- **Authorized official phone:** (228) 762-0713

## Contact information

- **Practice address:** 2712 CRISWELL AVE, PASCAGOULA, MS 39567-1143
- **Practice address phone:** (228) 762-0713
- **Practice address fax:** (228) 762-0712
- **Mailing address:** 2712 CRISWELL AVE, PASCAGOULA, MS 39567-1143
- **Mailing address phone:** (228) 762-0713
- **Mailing address fax:** (228) 762-0712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 09811 | MS | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/22/2020