Dean, Keneisha

Dean, Keneisha is an individual health care provider with primary practice located at 1668 W Peace St , Canton MS 39046-5332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dean, Keneisha can be contacted via phone (662) 859-5213.

Contact Information

Primary practice address
1668 W Peace St Canton MS 39046-5332
Phone: (662) 859-5213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 903945 Mississippi

Profile Details

NPI number 1295344224
LBN Legal business name Dean, Keneisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2020
Last updated Jul 27th, 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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