Cranford, Kelli Conwill
Cranford, Kelli Conwill is an individual health care provider with primary practice located at 401 Baptist Dr Ste 401 , Madison MS 39110-2012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cranford, Kelli Conwill can be contacted via phone (601) 973-1517.Contact Information
Primary practice address
401 Baptist Dr Ste 401
Madison MS 39110-2012
Phone: (601) 973-1517
Fax: (601) 973-1623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 901375 | Mississippi |
Profile Details
| NPI number | 1528431145 |
|---|---|
| LBN Legal business name | Cranford, Kelli Conwill |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2015 |
| Last updated | Jan 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528431145 | NPPES |
| Mississippi | MEDICAID | 09627870 |
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