Individual
DR. KENNETH STAGGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
(601) 482-9223
Mailing address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
(601) 482-9223
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
14732
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116542
—
MS
Enumeration date
09/09/2005
Last updated
01/28/2019
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