Organization
WILLOW PAIN AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK L. KINARD MD (OWNER)
(662) 638-0462
Entity
Organization
Contact information
Practice address
2215 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 638-0462
(866) 658-0083
Mailing address
PO BOX 2730, OXFORD, MS 38655-4200
(662) 638-0462
(866) 658-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
07/01/2024
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