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Individual

KENYATA NECO MCGREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
(601) 718-2487
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
(601) 718-2487

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320345
MS

Other

Enumeration date
03/18/2026
Last updated
03/18/2026
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