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Individual

KAMAL HOKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
785 OHIO AVE, STE 2C, CLARKSDALE, MS 38614-6217
(662) 627-2544
(662) 627-2052
Mailing address
785 OHIO AVE, STE 2C, CLARKSDALE, MS 38614-6217
(662) 627-2544
(662) 627-2052

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22982
MS
2084N0400X
Neurology Physician
4301072133
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201335550
TAX ID
MI
01
22982
MS LICENSE
MS
01
KH072133
STATE LICENSE
MI
Enumeration date
01/15/2007
Last updated
10/16/2014
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