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Kenneth A Grinspun, M.d. P.a.
Specialist in Tupelo, Mississippi
NPI 1063536126

Kenneth A Grinspun, M.d. P.a. is a Specialist based in Tupelo, MS. Kenneth A Grinspun, M.d. P.a. practices in Tupelo, MS. The NPI Number for Kenneth A Grinspun, M.d. P.a. is 1063536126 and holds a License No. 16020 (Mississippi).

The current practice location address for Kenneth A Grinspun, M.d. P.a. is 1464 Medical Park Cir, Tupelo, MS and can be reached out via phone at 662-844-8699 and via fax at 662-844-7087.

Location: 1464 Medical Park Cir, Tupelo, MS, 38802-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063536126
Provider Name
Kenneth A Grinspun, M.d. P.a.
Credential
Provider Entity Type
Organization
Address
1464 Medical Park Cir, Tupelo, MS, 38802-1001
Phone Number
662-844-8699
Fax Number
662-844-7087
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9016045 05 MS
institution
Provider Business Practice Location Address Details
Address
1464 Medical Park Cir
City
Tupelo
State
Mississippi
Zip
38801-6595
Phone Number
662-844-8699
Fax Number
662-844-7087
person
Provider Business Mailing Address Details
Address
1464 Medical Park Cir
City
Tupelo
State
Mississippi
Zip
38801-6595
Phone Number
662-844-8699
Fax Number
662-844-7087
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
16020 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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