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DR. KENNETH E CLEVELAND MD
NPI 1639266406
Surgery in Jackson, MS

Active since October 05, 2006
1190 NORTH STATE STREET, SUITE 502, JACKSON, MS 39202(601) 944-1781(601) 353-0439 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth E Cleveland Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH E CLEVELAND MD (NPI 1639266406) is an individual surgery provider in Jackson, Mississippi, licensed in Mississippi (15419) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639266406
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KENNETH E CLEVELANDCredential: MD
Location Address1190 NORTH STATE STREET, SUITE 502Jackson, MS 39202
Mailing Address1190 North State Street, Suite 502Jackson, MS 39202 · (601) 944-1781 · Fax (601) 353-0439
Phone(601) 944-1781
Fax(601) 353-0439
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639266406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MS · 15419
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1190 NORTH STATE STREET, Jackson, MS 39202
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Other Identifiers 2

Medicare UPING45203MS
Medicaid00123961MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Cleveland's NPI number?

The NPI number for Kenneth Cleveland is 1639266406. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kenneth Cleveland located?

Kenneth Cleveland practices at 1190 North State Street Suite 502, Jackson, MS 39202. The listed phone number is (601) 944-1781.

What is Kenneth Cleveland's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kenneth Cleveland was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.