Gilburth, Kenneth

Gilburth, Kenneth is an sole proprietor health care provider with primary practice located at 1801 Crane Ridge Dr , Jackson MS 39216-4902. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gilburth, Kenneth can be contacted via phone (601) 362-1469.

Contact Information

Primary practice address
1801 Crane Ridge Dr Jackson MS 39216-4902
Phone: (601) 362-1469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0149 Mississippi

Profile Details

NPI number 1760531891
LBN Legal business name Gilburth, Kenneth
Credentials E.D.D., L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - 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.

Request for update

Popular Providers