KENEISHA DEAN


Address: 1668 W Peace St, Canton, MS 39046-5332
Phone: 6628595213

KENEISHA DEAN (NPI# 1295344224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295344224
Entity Type Individual
Full Name KENEISHA DEAN
Practice Address 1668 W Peace St
Canton
MS 39046-5332
Mailing Address 416 Forest Ln
Ridgeland
MS 39157-4134
Practice Telephone 6628595213
Mailing Telephone 6622999517
Enumeration Date 2020-07-27
Last Update Date 2020-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 903945 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 1668 W PEACE ST
City CANTON
State MS
Zip Code 39046-5332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972564656 Wesley F Prater Obstetrics & Gynecology 1668 W Peace St, Canton, MS 39046-5332 2006-03-31
1205456910 Falasha Reed Licensed Practical Nurse 1668 W Peace St, Canton, MS 39046-5332 2020-04-22
1669010732 G A Carmichael Family Health Center Pharmacy 1668 W Peace St, Canton, MS 39046-5332 2019-12-19
1013569847 G A Carmichael Family Health Center, Inc. Clinic/Center 1668 W Peace St, Canton, MS 39046-5332 2019-07-11
1972167278 Jessica Carson Nurse Practitioner 1668 W Peace St, Canton, MS 39046-5332 2019-04-23
1992269088 Tressa Ann Matthews Family Medicine 1668 W Peace St, Canton, MS 39046-5332 2019-01-23
1134606700 Chris Fields Clinical Exercise Physiologist 1668 W Peace St, Canton, MS 39046-5332 2018-07-25
1639693823 Logan Barlow Nurse Practitioner 1668 W Peace St, Canton, MS 39046-5332 2017-07-28
1659891257 Yvette Rochelle Mclaurin Nurse Practitioner 1668 W Peace St, Canton, MS 39046-5332 2017-06-23
1144629510 Angela Jones-stewart Nurse Practitioner 1668 W Peace St, Canton, MS 39046-5332 2014-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858053 Pediatric Haven Skilled Nursing Facility 112 Westfalen Drive, Canton, MS 39046 2019-12-20
1932743176 Stacey Elizabeth Aldridge Social Worker 210 E Peace Street, Canton, MS 39046 2019-10-31
1881245736 Mildred Loving Technician 323 Shady Lane, Canton, MS 39046 2019-09-23
1295384683 Betty Bass Technician 693 Miggins Road, Canton, MS 39046 2019-09-09
1972081644 Charles Brayden Jones Physical Therapist 276 Nissan Pkwy Ste 400, Canton, MS 39046 2018-08-03
1013436062 Andrew J Breland Counselor 210 E Peace St, Canton, MS 39046 2017-09-11
1801318290 Mississippi Enjoy Breastfeeding Shalom Resource Center Clinic/Center 343 Smith Street, Canton, MS 39046 2017-07-07
1619362977 Shameca Hudson Nurse Practitioner 274 Cobbville Dr E, Canton, MS 39046 2015-04-03
1144644386 Margaret Reimers Beckwith Chiropractor 124 Links Drive, I-103, Canton, MS 39046 2014-02-07
1053753194 Tanya Linette Calhoun Nurse Practitioner 1171 Hart Street, Canton, MS 39046 2013-07-17
Find all providers in zip 39046

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124629365 Dima Healthcare, Inc Family Medicine 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 2020-11-04
1396342606 Kiwi Virtual Health Care Pllc Family Medicine 40618 Blythefield Ln, Canton, MI 48188-2251 2020-10-08
1417571142 K Loor Medical LLC Family Medicine 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 2020-05-28
1336762913 Favor Family Medical Practice Family Medicine 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 2020-05-18
1679051213 Edward Arthur Hill Family Medicine 6104 Cedar Lane Nw, Canton, OH 44708 2018-08-06
1073012118 Mea Primary Care Plus LLC Family Medicine 112 Southlake Cir, Canton, MS 39046-5368 2018-02-05
1629592175 Healthy U Academy, LLC Family Medicine 1226 Market Ave N, Canton, OH 44714-2604 2017-07-26
1629508114 Zeinab M Makki Family Medicine 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 2017-06-15
1366805210 Michael Wowk Family Medicine 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 2016-03-29
1184036832 Courtney Weaver Family Medicine 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 2014-05-29
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 39046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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