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Organization
KENNETH HINES MD PA
Active
Organization
KENNETH HINES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEE HINES MD (PRESIDENT 100 PERCENT STOCKHOLDER)
(662) 455-1442
Entity
Organization
Contact information
Practice address
408 W MARKET ST, GREENWOOD, MS 38930
(662) 455-1442
(662) 455-6065
Mailing address
408 W MARKET ST, GREENWOOD, MS 38930
(662) 455-1442
(662) 455-6065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08354
MS
Other
Enumeration date
10/28/2006
Last updated
11/07/2007
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