Organization
HENDRIK K KUIPER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENDRIK K KUIPER MD (PRES)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08005
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016640
—
MS
Enumeration date
07/05/2007
Last updated
04/16/2008
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