# COAST FAMILY PHYSICIANS, P.A.

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

## Provider details

- **NPI number:** 1720301732
- **Authorized official:** BEN JUDSON KITCHINGS M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (228) 863-6883

## Contact information

- **Practice address:** 186 E OLD PASS RD, LONG BEACH, MS 39560-4621
- **Practice address phone:** (228) 863-6883
- **Practice address fax:** (228) 864-7949
- **Mailing address:** PO BOX 899, LONG BEACH, MS 39560-0899
- **Mailing address phone:** (228) 863-6883
- **Mailing address fax:** (228) 864-7949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 03606 | MS | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 05/23/2012