Organization
KOS BILLING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER C JONES (MANAGER)
(662) 455-9595
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930
(662) 455-9595
(662) 455-8906
Mailing address
PO BOX 10117, GREENWOOD, MS 38930
(662) 455-9595
(662) 455-8906
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17150
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015666
—
MS
Enumeration date
02/22/2006
Last updated
08/22/2020
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