Individual
DR. KENNETH W STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 SERGEANT PRENTISS DR., SUITE 300, NATCHEZ, MS 39120
(601) 446-2084
(601) 442-3024
Mailing address
46 SEARGENT PRENTISS DR., SUITE 300, NATCHEZ, MS 39120
(601) 446-2084
(601) 442-3024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09681
MS
207R00000X
Internal Medicine Physician
15220
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012515
—
MS
Enumeration date
06/10/2006
Last updated
07/21/2022
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