Kenneth Richard Geurts, INDEPENDENT DUTY COR
NPI #1962669671 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1962669671
- Entity Type
- Individual
- Name
- Kenneth Richard Geurts, INDEPENDENT DUTY COR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- INDEPENDENT DUTY COR
- Enumeration Date
- May 20, 2008
- Last Updated
- May 20, 2008
Practice Location
- Address
- 5501 MARVIN SHIELDS BLVD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-9007
- Phone
- (228) 871-2810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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