Muldrew, Kenneth Lynn

Muldrew, Kenneth Lynn is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Muldrew, Kenneth Lynn can be contacted via phone (601) 984-1540.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X MD37080 Tennessee
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X MD37080 Tennessee
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD37080 Tennessee
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X R0286 Texas

Profile Details

NPI number 1790913010
LBN Legal business name Muldrew, Kenneth Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2009
Last updated Mar 4th, 2022 - about 2 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 1790913010 NPPES
Mississippi MEDICAID 05380516

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