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1831161397
KENNETH ROBERT COOK
TUPELO, MS
NPI
1831161397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R867598)
Enumeration Date
2006-02-07
Last Update Date
2009-10-30
Business Address
-- KENNETH ROBERT COOK Nurse Practitioner
410 COUNCIL CIR
TUPELO, MS 38801-4938
Phone number: 662-377-5400
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Mailing Address
-- KENNETH ROBERT COOK Nurse Practitioner
450 E PRESIDENT AVE
TUPELO, MS 38801-5599
Phone number: 662-377-4685
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