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Organization

KEMPER CAH, INC

Active
Other names
Ochsner Health Center-Hwy 39
Organization subpart
No

Provider details

NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization

Contact information

Practice address
4331 HIGHWAY 39 N, MERIDIAN, MS 39301-1007
(601) 484-6180
(601) 482-0944
Mailing address
DEPT. 3019 P O BOX 1000, MEMPHIS, TN 38148-3019
(601) 213-3010
(601) 213-3011

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009015196
MS
Enumeration date
12/18/2012
Last updated
06/21/2023
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