Kergosien, Carolyn
Kergosien, Carolyn is an individual health care provider with primary practice located at 23453 Central Dr , Saucier MS 39574-7521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kergosien, Carolyn can be contacted via phone (228) 832-7223.Contact Information
Primary practice address
23453 Central Dr
Saucier MS 39574-7521
Phone: (228) 832-7223
Fax: (228) 832-0657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12779 | Mississippi |
Profile Details
| NPI number | 1932177193 |
|---|---|
| LBN Legal business name | Kergosien, Carolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 13th, 2011 - about 14 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 | 1932177193 | NPPES |
| Mississippi | MEDICAID | 0123167 |
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