RKM PRIMARY

GLOSTER, MS
NPI1245364876
Entity TypeOrganization
Authorized ContactBRYAN MICHAEL BAKER
RN
225-683-5292
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: LA  rn114253)
Enumeration Date2007-03-15
Last Update Date2020-08-22
Business Address
RKM PRIMARY
6002 HANCOCK RD
GLOSTER, MS 39638-6133
Phone number: 601-225-7206
Mailing Address
RKM PRIMARY
6002 HANCOCK RD
GLOSTER, MS 39638-6133
Phone number: 601-225-7206