Individual
DR. KENNETH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
424 FERNWOOD DR, JACKSON, MS 39206-3020
(601) 519-8583
(410) 265-5310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13104
MS
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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