Individual
KALLEAN J KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7218
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7218
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-4947
MS
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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