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General NPI Number Information
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NPI Number | 1093866303
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Entity Type | Individual
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Provider Name | KAMAL HOKAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 785 OHIO AVE STE 2C
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City | CLARKSDALE
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State | MS
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Zip | 38614-6217
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Country | US
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Telephone | 662-627-2544
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Fax | 662-627-2052
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Provider Business Mailing Address
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Address Line | 785 OHIO AVE STE 2C
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City | CLARKSDALE
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State | MS
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Zip | 38614-6217
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Country | US
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Telephone | 662-627-2544
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Fax | 662-627-2052
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301072133
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 22982
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License Number State | MS
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