Individual
KENDAURIS BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 W SOUTH ST, KOSCIUSKO, MS 39090-4414
(662) 770-0856
Mailing address
106 W SOUTH ST, KOSCIUSKO, MS 39090-4414
(662) 770-0856
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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