| NPI | 1518176445 |
|---|---|
| Doing Business As | KILMICHAEL HOSPITAL PROFESSIONAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CALVIN DEXTER JOHNSON Administrator 662-262-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS MS06391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 12496) |
| 207Q00000X Family Medicine (Licence: MS 16482) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 000010138) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 10138) | |
| 363L00000X Nurse Practitioner (Licence: MS R605859) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS R504696) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-05-17 |