Organization
JMK MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KINSEY NP (OWNER)
(228) 990-2143
Entity
Organization
Contact information
Practice address
1104 HOMESTEAD BLVD, GAUTIER, MS 39553-4612
(228) 990-2143
Mailing address
1104 HOMESTEAD BLVD, GAUTIER, MS 39553-4612
(228) 990-2143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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