Edwards, Kenny B
Edwards, Kenny B is an individual health care provider with primary practice located at 670 Leigh Drive , Columbus MS 39705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Edwards, Kenny B can be contacted via phone (662) 328-1012.Contact Information
Primary practice address
670 Leigh Drive
Columbus MS 39705
Phone: (662) 328-1012
Fax: (662) 328-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 21545 | Mississippi |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 21545 | Mississippi |
Profile Details
| NPI number | 1659405793 |
|---|---|
| LBN Legal business name | Edwards, Kenny B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Oct 7th, 2022 - about 2 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 | 1659405793 | NPPES |
| Mississippi | MEDICAID | 00776741 |
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