DR. KENT IAN KOSSOY MD NPI 1356322416

NPI Information

  • NPI: 1356322416
  • Provider Name: DR. KENT IAN KOSSOY, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • Address: 2100 HIGHWAY 61 N
    VICKSBURG, MS
    ZIP 39183
  • Phone: (601) 883-6300

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NPI Details

DR. Kent Ian Kossoy, MD is a colon rectal surgery in Vicksburg, MS. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Kent Ian Kossoy, MD NPI is 1356322416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183-211
Phone: (601) 883-6300

The enumeration date for this NPI number is 11/7/2005 and was last updated on 9/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal SurgeryJ0558TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1123261307MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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