Collins, Kennerh Provine
Collins, Kennerh Provine is an sole proprietor health care provider with primary practice located at 2917 56Th Court , Meridian MS 39305. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Collins, Kennerh Provine can be contacted via phone (601) 604-9114.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | E7052 | Mississippi |
Profile Details
| NPI number | 1982042198 |
|---|---|
| LBN Legal business name | Collins, Kennerh Provine |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2013 |
| Last updated | Jun 10th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982042198 | NPPES |
| Mississippi | Other | E7052 | MISSISSIPPI PHARMACY LICENSE |
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