Organization
FAITH FAMILY CLINIC OF KOSSUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY S THORNTON FNP (CO-OWNER/PROVIDER)
(662) 728-0162
Entity
Organization
Contact information
Practice address
820 HIGHWAY 2, CORINTH, MS 38834-7954
(662) 728-0162
(662) 728-0326
Mailing address
820 HIGHWAY 2, CORINTH, MS 38834-7954
(662) 728-0162
(662) 728-0326
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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