IndividualActive
Kenneth Geurts, INDEPENDENT DUTY COR
NPI 1962669671 · Other Specialist/Technologist · Gulfport, MS
Provider details
- NPI number
- 1962669671
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- INDEPENDENT DUTY COR
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone: (228) 871-2810
Approximate (ZIP-level) locationGet directions
Mailing address
5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.