Individual
DR. KENNETH DANIEL SAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5002 HIGHWAY 39 N BLDG A, MERIDIAN, MS 39301-1078
(601) 512-0500
(601) 512-0505
Mailing address
5002 HIGHWAY 39 N, BLDG A, MERIDIAN, MS 39301-1078
(601) 512-0500
(601) 512-0505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22764
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497603ZUU
MEDICARE ID
MS
Enumeration date
07/05/2011
Last updated
10/10/2016
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