Organization
WILLOW PAIN AND WELLNESS, LLC
Active
Parent organization
WILLOW PAIN & WELLNESS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW PAIN & WELLNESS, LLC
Authorized official
KIRK L. KINARD DO (OWNER/ MEDICAL DIRECTOR)
(662) 638-0462
Entity
Organization
Contact information
Practice address
255 MEDICAL CENTER DR., BATESVILLE, MS 38606
(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
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04159271
—
MS
Enumeration date
09/19/2018
Last updated
09/19/2018
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