Kossoy, Kent Ian
Kossoy, Kent Ian is an individual health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Kossoy, Kent Ian can be contacted via phone (601) 883-6300.Contact Information
Primary practice address
2100 Highway 61 N
Vicksburg MS 39183-8211
Phone: (601) 883-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | J0558 | Texas |
Profile Details
| NPI number | 1356322416 |
|---|---|
| LBN Legal business name | Kossoy, Kent Ian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Sep 14th, 2020 - about 4 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 | 1356322416 | NPPES |
| Texas | MEDICAID | 123261307 |
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