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Carnell Kitchens
NPI 1427535491 · on the registry since 2018 · sole proprietor
Practice
- Address
- 585 E Beasley Rd
Jackson, MS 39206 - Phone
- (601) 259-4602
- Fax
- (601) 259-4602
Registry record
- Primary taxonomy
- 3104A0625X
3104A0625X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi