Organization
KEBERT EYE CLINIC PLLC
Active
Other names
Kebert Optical Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
KENT L KEBERT MD (CEO)
(601) 684-8118
Entity
Organization
Contact information
Practice address
1307 ASTON AVENUE, MCCOMB, MS 39648
(601) 684-8118
(601) 249-0846
Mailing address
1307 ASTON AVENUE, MCCOMB, MS 39648
(601) 684-8118
(601) 249-0846
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880090
—
MS
Enumeration date
12/04/2007
Last updated
03/18/2011
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