Kendauris Burroughs
NPI #1396579512 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1396579512
- Entity Type
- Individual
- Name
- Kendauris Burroughs
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician
- Enumeration Date
- Aug 29, 2024
- Last Updated
- Aug 29, 2024
Practice Location
- Address
- 106 W SOUTH ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-4414
- Phone
- (662) 770-0856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician |
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Organizations
| Provider Name | |
|---|---|
| Ellisville State School |
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