Keith Vuncannon & Brad Stephenson Ptrs Caring Hands Rehab

NPI 1063559755 - Clinic/Center - 261QP2000X

NPI Details
NPI 1063559755
Enumeration Date 01/31/2007
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY KEITH LARRY
Position CO OWNER
Phone (662) 720-7050
Fax (662) 720-7055
Practice Location
503 CONSTITUTION DR
IUKA MS, 38852-8201, US
Phone (662) 720-7050
Fax (662) 720-7055
Business Location
503 CONSTITUTION DR
IUKA MS, 38852-8201, US
Phone (662) 424-9500
Fax (662) 424-9592
Toxanomy
Taxonomy Code 261QP2000X
License State Mississippi
License Number PT3039
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According to our database, Keith Vuncannon & Brad Stephenson Ptrs Caring Hands Rehab NPI is 1063559755, taxonomy code is 261QP2000X and license number is PT3039, license state is located at Mississippi. Keith Vuncannon & Brad Stephenson Ptrs Caring Hands Rehab physically located at 503 Constitution Dr, Iuka MS, 38852-8201. NPI Number 1033115704 has the healthcare provider type.

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1063559755 NPI number is provided on an as is basis without warranty of any kind. 1063559755 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Vuncannon & Brad Stephenson Ptrs Caring Hands Rehab are for informational purposes only.