George, Matthew Kenyon
George, Matthew Kenyon is an individual health care provider with primary practice located at 1225 N State St , Jackson MS 39202-2064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. George, Matthew Kenyon can be contacted via phone (601) 988-5281.Contact Information
Primary practice address
1225 N State St
Jackson MS 39202-2064
Phone: (601) 988-5281
Fax: (601) 974-6241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 22585 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22585 | Mississippi |
Profile Details
| NPI number | 1659383297 |
|---|---|
| LBN Legal business name | George, Matthew Kenyon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 17th, 2022 - about 3 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 | 1659383297 | NPPES |
| Mississippi | MEDICAID | 04478370 |
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