IndividualActive
Carnell Kitchens
NPI 1427535491 · Assisted Living Facility (Mental Illness) · Jackson, MS
Provider details
- NPI number
- 1427535491
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1226 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
585 E Beasley Rd
Jackson, MS 39206-3044
Phone: (601) 259-4602
Fax: (601) 259-4602
Approximate (ZIP-level) locationGet directions
Mailing address
585 E Beasley Rd
Jackson, MS 39206-3044
Registry dates
- Enumerated
- 2018-07-23
- Last updated
- 2018-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.