Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNERH PROVINE COLLINS, BS
Active Sole ProprietorMR. KENNERH PROVINE COLLINS, BS is a Pharmacotherapy Specialist healthcare provider located in MERIDIAN, Mississippi. NPI 1982042198 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · MERIDIAN, MS
Registration Details
- NPI Number
- 1982042198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2013 (13.147701480019 yrs)
- Last Updated
- Jun 10, 2013
- License
-
E7052 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2917 56TH COURTMERIDIAN, MS, 39305Browse MS providers · Browse ZIP 39305
- Phone
- 6016049114
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.