NPI 1558379263 DR. KEVIN MARK PASSER M.D. HATTIESBURG MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Kevin Mark Passer - NPI: 1558379263

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. KEVIN MARK PASSER
NPI Number: 1558379263
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 13970
Business Practice Address: 5317-4 Old Highway 11
Hattiesburg, MS - 39402
Business Phone Number: 6012619101
Business Fax Number: 6012619102
Mailing Address: 6068 Highway 98 West, Suite 1-255
HATTIESBURG
State: MS
Postal Code: 39402
Phone Number: 6012619101
Fax Number: 6012619102
NPI Enumeration Date: 08/04/2006
NPI Last Update Date: 11/02/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2084A0401X
License Number: 13970
Healthcare Provider Taxonomy:
(Secondary)
N
State: MS
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Psychiatry & Neurology
Taxonomy Specialization: Addiction Medicine
Taxonomy Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


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