Mr. Gregory Kevin Picou
Rehabilitation Chiropractor
9344 Three Rivers Rd
Gulfport
, Mississippi 39503-4268
Mr. Gregory Kevin Picou
Rehabilitation Chiropractor
9344 Three Rivers Rd
Gulfport
, Mississippi 39503-4268
(228) 863-5616
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Mr. Gregory Kevin Picou
- 9344 Three Rivers Rd
- Gulfport, MS
- Zip : 39503-4268
- Fax : (228) 863-5616
- Phone : (228) 865-9898
Second Address
- Mr. Gregory Kevin Picou
- 9344 Three Rivers Rd
- Gulfport, MS
- Zip : 39503-4268
- Fax : (228) 863-5616
- Phone : (228) 865-9898
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 0916 | MS |
National Provider Identifier
| NPI | 1073693040 |
|---|---|
| Provider Name | Mr. Gregory Kevin Picou |
| First Address | Gulfport, MS 39503-4268 |
| Second Address | Gulfport, MS 39503-4268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 800075040 | TAX ID (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.