IndividualActive
Kentrell Liddell, M.D.
NPI 1659384063 · Family Medicine Physician · Jackson, MS
Kentrell Liddell, M.D. is a Family Medicine Physician provider in Jackson, MS (NPI 1659384063).
Provider details
- NPI number
- 1659384063
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17997 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2104 Thousand Oaks Dr
Jackson, MS 39212-2048
Phone: (601) 346-7450
Fax: (601) 346-7451
Street-level locationGet directions
Mailing address
2104 Thousand Oaks Dr
Jackson, MS 39212-2048
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2013-04-09
Frequently asked questions
- What is Kentrell Liddell's NPI number?
- Kentrell Liddell's National Provider Identifier (NPI) is 1659384063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kentrell Liddell's specialty?
- Kentrell Liddell is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kentrell Liddell located?
- Kentrell Liddell's practice location on file with NPPES is 2104 Thousand Oaks Dr, Jackson, MS 39212-2048.
- What is Kentrell Liddell's phone number?
- The practice phone number listed in the NPPES registry for Kentrell Liddell is (601) 346-7450.
- Is Kentrell Liddell's NPI active?
- Yes — Kentrell Liddell's NPI (1659384063) is active in the NPPES registry as of the last update on 2013-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.