Individual
KEVIN STAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
605 OLD SAVANNAH DR, LONG BEACH, MS 39560-9600
(870) 204-1430
Mailing address
605 OLD SAVANNAH DR, LONG BEACH, MS 39560-9600
(870) 204-1430
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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