Cain, Kenneth Brent

Cain, Kenneth Brent is an individual health care provider with primary practice located at 342 Magnolia Dr , Raleigh MS 39153-6012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cain, Kenneth Brent can be contacted via phone (601) 782-5665.

Contact Information

Primary practice address
342 Magnolia Dr Raleigh MS 39153-6012
Fax: (601) 782-5857
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16442 Mississippi

Profile Details

NPI number 1306869102
LBN Legal business name Cain, Kenneth Brent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Sep 10th, 2014 - about 11 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 1306869102 NPPES
Mississippi MEDICAID 00123546

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