Kerby, Sean C

Kerby, Sean C is an individual health care provider with primary practice located at 12261 Highway 49 Suite 11, Gulfport MS 39503-2975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kerby, Sean C can be contacted via phone (228) 867-5185.

Contact Information

Primary practice address
12261 Highway 49 Suite 11 Gulfport MS 39503-2975
Phone: (228) 867-5185
Fax: (228) 867-5189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34974 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20062 Mississippi

Profile Details

NPI number 1730268939
LBN Legal business name Kerby, Sean C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 10th, 2014 - about 11 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 1730268939 NPPES
Mississippi MEDICAID 07885561
Mississippi Other DE2565
Mississippi MEDICAID 3861661
Mississippi Other P00344233
Mississippi Other 4114136

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