Kroger Limited Partnership I
Specialty details in registry · Southaven, MS
At a glance
465 Stateline Rd W, Southaven, MS 38671-1611
NPPES record updated Mar 13, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
465 Stateline Rd WSouthaven, MS 38671-1611
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Jul 10, 2006
- Record updated
- Mar 13, 2020
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X
Specialty details in registry
333600000X
Specialty details in registry
3336C0003X · Primary
License reported: 1728012 MS
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
465 Stateline Rd WSouthaven, MS 38671-1611
- Phone
- (662) 393-3426
- Fax
- (662) 393-1605
Mailing address
PO BOX 842772BOSTON, MA 022842772
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue