Individual
KERRI WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3963
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-3476
MS
Other
Enumeration date
09/16/2011
Last updated
01/16/2019
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