Organization
KEMPER CAH, INC.
Active
Other names
Ochsner Health Center-Dekalb
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
30 PONDEROSA AVE, DE KALB, MS 39328-9104
(601) 743-4626
(601) 743-2133
Mailing address
DEPT 3019, P O BOX 1000, MEMPHIS, TN 38148-3019
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003186256
—
MS
Enumeration date
07/10/2013
Last updated
04/26/2023
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