LARRY KEITH VUNCANNON NPI 1609913466

NPI Information

  • NPI: 1609913466
  • Provider Name: LARRY KEITH VUNCANNON
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 503 CONSTITUTION DR
    IUKA, MS
    ZIP 38852
  • Phone: (662) 424-9500

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NPI Details

Larry Keith Vuncannon is a specialist in Iuka, MS with 35 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Larry Keith Vuncannon NPI is 1609913466. 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:

503 CONSTITUTION DR
IUKA, MS
ZIP 38852-201
Phone: (662) 424-9500
Fax: (662) 424-9592

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

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
1174400000XSpecialistPT1052MISSISSIPPIYes

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
100119836MEDICAIDMISSISSIPPI
2S69362MEDICARE UPINMISSISSIPPI

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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