Individual
MR. LEVON KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
678 N JEFFERSON ST, HOUSTON, MS 38851-9748
(662) 448-1172
Mailing address
678 N JEFFERSON ST, P.O. BOX 656, HOUSTON, MS 38851-9748
(662) 448-1172
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770566
—
MS
Enumeration date
12/28/2007
Last updated
12/28/2007
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