Brister, Kelly
Brister, Kelly is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Brister, Kelly can be contacted via phone (601) 815-1292.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 815-1292
Fax: (601) 984-5110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 27795 | Mississippi |
Profile Details
| NPI number | 1811381957 |
|---|---|
| LBN Legal business name | Brister, Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2015 |
| Last updated | Jun 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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