Griffin, Kaisha Renada

Griffin, Kaisha Renada is an individual health care provider with primary practice located at 350 W Woodrow Wilson Ave , Jackson MS 39213-7681. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Griffin, Kaisha Renada can be contacted via phone (601) 709-5130.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Jackson MS 39213-7681
Phone: (601) 709-5130
Fax: (601) 709-5151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-1990 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21093 Mississippi

Profile Details

NPI number 1619188026
LBN Legal business name Griffin, Kaisha Renada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jun 25th, 2011 - about 13 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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