Staggs, Kenneth
Staggs, Kenneth is an individual health care provider with primary practice located at 1001 14Th St , Meridian MS 39301-4458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Staggs, Kenneth can be contacted via phone (601) 482-9224.Contact Information
Primary practice address
1001 14Th St
Meridian MS 39301-4458
Phone: (601) 482-9224
Fax: (601) 482-9223
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 14732 | Mississippi |
Profile Details
NPI number | 1043204654 |
---|---|
LBN Legal business name | Staggs, Kenneth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Jan 28th, 2019 - about 6 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 | 1043204654 | NPPES |
Mississippi | MEDICAID | 00116542 |
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