KPC Promise Hospital of Vicksburg LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

KPC PROMISE HOSPITAL OF VICKSBURG LLC

Practice address

2100 Highway 61 N
Vicksburg, MS 39183-8211

Phone

(601) 883-3265

NPI assigned

Apr 30, 2019

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Thomas

Title

Secretary

Phone

(951) 987-8100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kali P Chaudhuri, M.D.

  • Specialist
  • Hemet, CA
  • NPI 1538179437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1124682570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 350",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322754",
            "telephone_number": "561-869-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-883-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPC PROMISE HOSPITAL OF VICKSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-987-8100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Robinson Kinnebrew
• Samantha Rose Klein, DPT
• Miranda Knight
• Angela J. Koestler, PH.D.
• Kent Ian Kossoy, MD
• Kristi Kraft
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Allison Kurtz
• La Miss Diabetic Shoes

• Long Term Care Hospital in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Long Term Care Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.