Whalio Doctors

NPI 1356692875

Hancock Medical Health Services, INC.

Organisation Nurse Practitioner Kiln, MS

Practice location

Address
7084 Stennis Airport Dr., Kiln, MS 39556
Phone
(228) 467-4216
Fax
(228) 467-4217
Mailing address
149 Drinkwater Blvd., Bay St. Louis, MS 39520

Authorised official

Name
Guy Ken Smith
Title
Director Operations
Phone
(985) 898-7091

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 11-214 (MS)

Registry record

NPI
1356692875
Entity type
Organization
NPI issued
24 Sep 2012
Record last updated
10 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.