Del Ben, Kevin

Del Ben, Kevin is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Del Ben, Kevin can be contacted via phone (601) 984-5888.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5888
Fax: (601) 984-5842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 46743 Mississippi

Profile Details

NPI number 1043267990
LBN Legal business name Del Ben, Kevin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Feb 25th, 2008 - about 17 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 1043267990 NPPES
Mississippi MEDICAID 00501782

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