Organization
KENNETH A GRINSPUN, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A GRINSPUN M.D. (ORTHOPAEDIC SURGERON)
(662) 844-8699
Entity
Organization
Contact information
Practice address
1464 MEDICAL PARK CIR, TUPELO, MS 38801-6595
(662) 844-8699
(662) 844-7087
Mailing address
PO BOX 1001, TUPELO, MS 38802-1001
(662) 844-8699
(662) 844-7087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16020
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9016045
—
MS
Enumeration date
03/16/2007
Last updated
08/22/2020
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