| Kingswell LLC | |
|
270 Trace Colony Park Dr Ste B Ridgeland MS 39157-8810 | |
| (601) 427-4067 | |
| Not Available |
| Full Name | Kingswell LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 270 Trace Colony Park Dr Ste B, Ridgeland, Mississippi |
| Authorized Official Name and Position | Harold Meyer Jr (OWNER) |
| Authorized Official Contact | 6014274067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingswell LLC 270 Trace Colony Park Dr Ste B Ridgeland MS 39157-8810 Ph: (601) 427-4067 | Kingswell LLC 270 Trace Colony Park Dr Ste B Ridgeland MS 39157-8810 Ph: (601) 427-4067 |
| NPI Number | 1760300909 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760300909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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