Individual
KEVIN PAUL MARCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
37 WOODGATE DR, BRANDON, MS 39042-2285
(601) 575-2002
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901886
MS
Other
Enumeration date
01/11/2024
Last updated
01/17/2024
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