Kwentus, Joseph A.
Kwentus, Joseph A. is an individual health care provider with primary practice located at 3531 Lakeland Drive Suite 1060 Brentwood Plaza, Flowood MS 39232. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kwentus, Joseph A. can be contacted via phone (601) 420-5810.Contact Information
Primary practice address
3531 Lakeland Drive Suite 1060 Brentwood Plaza
Flowood MS 39232
Phone: (601) 420-5810
Fax: (601) 420-5811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 17834 | Mississippi |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 17834 | Mississippi |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17834 | Mississippi |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 17834 | Mississippi |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17834 | Mississippi |
Profile Details
| NPI number | 1477582096 |
|---|---|
| LBN Legal business name | Kwentus, Joseph A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 28th, 2021 - 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 | 1477582096 | NPPES |
| Mississippi | MEDICAID | 00018209 | |
| Mississippi | Other | 860000121 | |
| Mississippi | MEDICAID | 00126737 |
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