NPI 1790703171

Richard K. Ivey, MD

Practitioner Surgery Physician Laurel, MS

Practice location

Address: 1002 Jefferson St Suite400, Laurel, MS 39440-4306
Phone: (601) 649-7802
Fax: (601) 428-7841
Mailing address: PO Box 247, Laurel, MS 39441-0247

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 12509 (MS)

Other Surgery providers in Mississippi →

Registry record

NPI: 1790703171
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2006
Record last updated: 8 Jan 2020

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.