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Kevin Del Ben

Psychologist

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Del Ben does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1043267990
Provider Type
Individual
Full Name
Del Ben, Kevin
Title
Dr.
Credential
PHD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/27/2006
Last Updated
2/25/2008

Contact Information

Practice Location

2500 N State St, Jackson, MS 39216-4500

(601) 984-5888

(601) 984-5842

Mailing Location

2500 N State St, Jackson, MS 39216-4500

(601) 984-5888

(601) 984-5842

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 46743 Mississippi

Provider Identifiers

ID	Description	Issuer
ID 00501782	Description Medicaid	Issuer Unlisted Mississippi

Kevin Del Ben

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Foster, Penni Smith

Johnson, Cheryl Ann

Elkin, Thomas David

Moore, Shannon Monique

Taravella, Cicely C.

Gabriele, Jeanne Marisa

Voluse, Andrew Craig

Connolly, Kevin Mark

Patel, Amee B

Brown, Mary Evelyn