Organization
KCC INFUSION, LLC
Active
Other names
Vicksburg Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD GILCHRIST (COO)
(601) 482-4003
Entity
Organization
Contact information
Practice address
2080 S FRONTAGE RD STE 100B, VICKSBURG, MS 39180-5328
(601) 482-4003
Mailing address
1501 23RD AVE, MERIDIAN, MS 39301-4027
(601) 482-4003
(601) 482-3948
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/02/2022
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