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Dr. Kentrell Marie Liddell, MD
Family Medicine Physician in Jackson, Mississippi
NPI 1659384063

Kentrell Marie Liddell is a Family Medicine Physician based in Jackson, MS. Kentrell Marie Liddell practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Kentrell Marie Liddell is 1659384063 and holds a License No. 17997 (Mississippi).

The current practice location address for Kentrell Marie Liddell is 2104 Thousand Oaks Dr, Jackson, MS and can be reached out via phone at 601-346-7450 and via fax at 601-346-7451.

Location: 2104 Thousand Oaks Dr, Jackson, MS, 39212-2048
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Provider Profile Details
NPI Number
1659384063
Provider Name
Kentrell Marie Liddell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2104 Thousand Oaks Dr, Jackson, MS, 39212-2048
Phone Number
601-346-7450
Fax Number
601-346-7451
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08072071 05 MS
11859914 01 MS UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
2104 Thousand Oaks Dr
City
State
Zip
39212-2048
Phone Number
601-346-7450
Fax Number
601-346-7451
person
Provider Business Mailing Address Details
Address
2104 Thousand Oaks Dr
City
State
Zip
39212-2048
Phone Number
601-346-7450
Fax Number
601-346-7451
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
17997 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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