Organization
OKTIBBEHA UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RYAN THOMAS MD (MEMBER)
16623241097
Entity
Organization
Contact information
Practice address
104 DOCTORS PARK, STARKVILLE, MS 39759-2570
(662) 324-1097
Mailing address
104 DOCTORS PARK, STARKVILLE, MS 39759-2570
(662) 324-1097
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
21408
MS
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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