NPI 1164464939

Kirk J Banquer, MD

Practitioner Surgery Physician Hattiesburg, MS

Practice location

Address: 6051 U S Highway 49, Hattiesburg, MS 39401-7200
Phone: (601) 288-2690
Fax: (601) 288-2695
Mailing address: PO Box 16389 Fgh Trauma Surgery Clinic, Hattiesburg, MS 39404-6389

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 10240 (MS)

Other Surgery providers in Mississippi →

Registry record

NPI: 1164464939
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2006
Record last updated: 26 Oct 2015

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.