| Iuka Family Clinic | |
|
302 Kaki St Iuka MS 38852-1117 | |
| (662) 423-3662 | |
| (662) 423-2509 |
| Full Name | Iuka Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 302 Kaki St, Iuka, Mississippi |
| Authorized Official Name and Position | Ben E Kitchens (DOCTOR) |
| Authorized Official Contact | 6624233662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iuka Family Clinic 302 Kaki St Iuka MS 38852-1117 Ph: (662) 423-3662 | Iuka Family Clinic 302 Kaki St Iuka MS 38852-1117 Ph: (662) 423-3662 |
| NPI Number | 1558533158 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/27/2008 |
| Medicare PECOS PAC ID | 2668558974 |
|---|---|
| Medicare Enrollment ID | O20080327000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558533158 | NPI | - | NPPES |
| 0123644 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6296 (Mississippi) | Primary |
| Provider Name | Ben E Kitchens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912979592 PECOS PAC ID: 7911083225 Enrollment ID: I20080327000263 |
| Provider Name | Kristi Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275866261 PECOS PAC ID: 0446395578 Enrollment ID: I20140707001366 |
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Iuka Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Kaki St, Iuka, MS 38852 Phone: 662-423-3662 Fax: 662-423-2509 |