| E. Kevin O'hea MD Family Practice | |
|
697 Manila St Lucedale MS 39452-6505 | |
| (601) 947-3377 | |
| (601) 947-3380 |
| Full Name | E. Kevin O'hea MD Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 697 Manila St, Lucedale, Mississippi |
| Authorized Official Name and Position | Yolanda Patrice Long (CEO/FNP BC) |
| Authorized Official Contact | 2282054592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Kevin O'hea MD Family Practice 697 Manila St Lucedale MS 39452-6505 Ph: (601) 947-3377 | E. Kevin O'hea MD Family Practice 697 Manila St Lucedale MS 39452-6505 Ph: (601) 947-3377 |
| NPI Number | 1184136962 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184136962 | NPI | - | NPPES |
| 000077717 | Medicaid | MS | |
| 00117316 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
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