Individual
DR. FRED EARL KENCY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2097
(601) 968-6142
Mailing address
2500 N STATE ST, EMERGENCY MEDICINE DEPARTMENT, JACKSON, MS 39216-4500
(601) 826-2753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22282
MS
208D00000X
General Practice Physician
22282
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2011
Last updated
07/16/2025
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