Individual
KAHDEJAH HOSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5235
Mailing address
1213 N 11TH ST, CORDELE, GA 31015-3766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T-5282
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
07/18/2024
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