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Shazzanne Kahelia Pennant, MD
Student in an Organized Health Care Education/Training Program in Gulfport, Mississippi
NPI 1235711185

Shazzanne Kahelia Pennant is a Student in an Organized Health Care Education/Training Program based in Gulfport, MS. Shazzanne Kahelia Pennant practices in Gulfport, MS and has the professional credentials of MD. The NPI Number for Shazzanne Kahelia Pennant is 1235711185 and holds a License No. (Mississippi).

The current practice location address for Shazzanne Kahelia Pennant is 4500 13Th St, Gulfport, MS and can be reached out via phone at 228-867-4968. You can also correspond with Shazzanne Kahelia Pennant through the mailing address at 4500 13TH ST, GULFPORT, MS - 39501-2515 (mailing address contact number: ).

Location: 4500 13Th St, Gulfport, MS, 39501-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235711185
Provider Name
Shazzanne Kahelia Pennant
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4500 13Th St, Gulfport, MS, 39501-2515
Phone Number
228-867-4968
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 13Th St
City
Gulfport
State
Mississippi
Zip
39501-2515
Phone Number
228-867-4968
Fax Number
person
Provider Business Mailing Address Details
Address
4500 13Th St
City
Gulfport
State
Mississippi
Zip
39501-2515
Phone Number
228-867-4968
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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