DR. Kaisha Renada Griffin, M.D.

NPI #1619188026 in Jackson, Mississippi

Provider Information

NPI Number: 1619188026
Entity Type: Individual
Name: DR. Kaisha Renada Griffin, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D.
Enumeration Date: May 25, 2007
Last Updated: Jun 25, 2011

Practice Location

Address: 350 W WOODROW WILSON AVE
City: Jackson
State: Mississippi
ZIP Code: 39213-7681
Phone: (601) 709-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Pediatrics	208000000X

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