| NPI | 1639181019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON LARKIN KENNEDY President 601-703-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-08-31 |