Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth A Krzyzkowski, NP

Individual provider Nurse Practitioner · NPI 1871083386

Kenneth A Krzyzkowski, NP is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2017, 9 years ago. Practices with Greenbrook Physician Services, LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 772-2980
Fax: (662) 772-2960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902566 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 902566 (MS)

Record details

NPI number1871083386
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESNovember 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Greenbrook Physician Services, Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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