Oswalt, Kenneth E.

Oswalt, Kenneth E. is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Oswalt, Kenneth E. can be contacted via phone (601) 984-5900.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5900
Fax: (601) 984-5939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 08785 Mississippi
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 08785 Mississippi

Profile Details

NPI number 1700977121
LBN Legal business name Oswalt, Kenneth E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700977121 NPPES
Mississippi MEDICAID 07726532
Mississippi Other P00232389
Mississippi Other P00604715 GRPDG7781

Popular Providers