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Contact Information

KEVIN A BROUSSARD, RPH ANP
2014 HIGHWAY 45 N
MERIDIAN, MS39301-2735
 Phone: 601-482-5799
 Fax: 601-485-5045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KEVIN A BROUSSARD · (Male)

NPI Number 1720478340
Status Active
Credentials RPH ANP
Entity Individual
Enumeration date 02/03/2015
Last updated 02/03/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # P-09013
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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