IndividualActive
Kendauris Burroughs
NPI 1396579512 · Technician · Kosciusko, MS
Provider details
- NPI number
- 1396579512
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
106 W South St
Kosciusko, MS 39090-4414
Phone: (662) 770-0856
Approximate (ZIP-level) locationGet directions
Mailing address
106 W South St
Kosciusko, MS 39090-4414
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.