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1417056235
KENNETH RAINEY
JACKSON, MS
NPI
1417056235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R606421)
Enumeration Date
2006-09-21
Last Update Date
2010-12-13
Business Address
-- KENNETH RAINEY CRNA,MS
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
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Mailing Address
-- KENNETH RAINEY CRNA,MS
1 OAK ALY
CLINTON, MS 39056-3158
Phone number: 601-925-9012
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