Individual
MR. KEVIN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 264-2111
Mailing address
106 HARBOR RD, MADISON, MS 39110-8103
(662) 588-4646
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
904037
MS
Other
Enumeration date
01/20/2021
Last updated
01/23/2021
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