Harrison, Kevin

Harrison, Kevin is an sole proprietor health care provider with primary practice located at 6096 U S Highway 98 Ste. 1, Hattiesburg MS 39402-8885. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Harrison, Kevin can be contacted via phone (601) 264-1701.

Contact Information

Primary practice address
6096 U S Highway 98 Ste. 1 Hattiesburg MS 39402-8885
Phone: (601) 264-1701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1982725149
LBN Legal business name Harrison, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1982725149 NPPES
Mississippi MEDICAID 0691010001
Mississippi MEDICAID 00880044

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