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
Fax: (601) 482-9223
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043204654 NPPES
Mississippi MEDICAID 00116542

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