| Kermit D Laird Md Pa | |
|
103 Doctors Park Starkville MS 39759 | |
| (662) 323-2515 | |
| Not Available |
| Full Name | Kermit D Laird Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Doctors Park, Starkville, Mississippi |
| Authorized Official Name and Position | Lynn Carr (OFFICE MANAGER) |
| Authorized Official Contact | 6623232515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kermit D Laird Md Pa 103 Doctors Park Starkville MS 39759 Ph: (662) 323-2515 | Kermit D Laird Md Pa 103 Doctors Park Starkville MS 39759 Ph: (662) 323-2515 |
| NPI Number | 1598830101 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 09/11/2007 |
| Medicare PECOS PAC ID | 5294829677 |
|---|---|
| Medicare Enrollment ID | O20070915000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598830101 | NPI | - | NPPES |
| C00006 | Other | MS | C00006 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John J Hollister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689617185 PECOS PAC ID: 2860458692 Enrollment ID: I20041203000417 |
| Provider Name | Everett C Mckibben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093873713 PECOS PAC ID: 4385617026 Enrollment ID: I20110120000507 |
| Provider Name | Angela S Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326307463 PECOS PAC ID: 2860621745 Enrollment ID: I20150706002273 |
| Provider Name | Angela I Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740630821 PECOS PAC ID: 1355634007 Enrollment ID: I20190703000438 |
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