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Contact Information

AUDREY L KRASIN, MD
7276 SOUTHCREST PKWY
SOUTHAVEN, MS38671
 Phone: 662-349-6577
 Fax: 662-349-6562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AUDREY L KRASIN · (Female)

NPI # 1144337155
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 18650
  • MS Medicaid 00123983
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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