Kenneth Staggs JR. MD

NPI 1043204654 - Pain Medicine - 208VP0014X

NPI Details
NPI 1043204654
Gender Male
Enumeration Date 09/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1001 14TH ST
MERIDIAN MS, 39301-4458, US
Phone (601) 482-9224
Fax (601) 482-9223
Business Location
PO BOX 5377
MERIDIAN MS, 39302-5377, US
Phone (800) 897-6169
Fax (800) 897-6170
Toxanomy
Taxonomy Code 208VP0014X
License State Mississippi
License Number 14732
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According to our database, Dr. Kenneth Staggs JR. MD NPI is 1043204654, taxonomy code is 208VP0014X and license number is 14732, license state is located at Mississippi. Kenneth Staggs JR. MD physically located at 1001 14th St, Meridian MS, 39301-4458. NPI Number Kenneth Staggs JR. MD has the Individual type.

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1043204654 NPI number is provided on an as is basis without warranty of any kind. 1043204654 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Staggs JR. MD are for informational purposes only.