Individual
DR. WILLIAM E. KERGOSIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 CARROLL AVE, BAY ST LOUIS, MS 39520-4503
(228) 467-6733
Mailing address
109 CARROLL AVE, BAY ST LOUIS, MS 39520-4503
(228) 467-6733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12138
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019189
—
MS
Enumeration date
07/20/2006
Last updated
01/07/2013
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