Organization
COAST FAMILY PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN JUDSON KITCHINGS M.D. (OWNER/PRESIDENT)
(228) 863-6883
Entity
Organization
Contact information
Practice address
186 E OLD PASS RD, LONG BEACH, MS 39560-4621
(228) 863-6883
(228) 864-7949
Mailing address
PO BOX 899, LONG BEACH, MS 39560-0899
(228) 863-6883
(228) 864-7949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03606
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123644
—
MS
Enumeration date
03/04/2010
Last updated
05/23/2012
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