| NPI | 1275307902 |
|---|---|
| Doing Business As | KDMC PEDIATRIC ADOLESCENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | SCOTT CHRISTENSEN CEO 601-835-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |