Blanchard, Kevin P

Blanchard, Kevin P is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blanchard, Kevin P can be contacted via phone (601) 268-5680.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5680
Fax: (601) 268-5778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16509 Mississippi

Profile Details

NPI number 1992719777
LBN Legal business name Blanchard, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992719777 NPPES
Mississippi Other 640507572XJ AMERICAN ADMIN GROUP
Mississippi MEDICAID 00124393 AMERICAN ADMIN GROUP
Mississippi MEDICAID 1035211 AMERICAN ADMIN GROUP

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