Search › Mississippi › 207Q00000X
Kentrell Liddell, M.D
NPI 1659384063 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2104 Thousand Oaks Dr
Jackson, MS 39212 - Phone
- (601) 346-7450
- Fax
- (601) 346-7451
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-09
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