Fewell, Kelli S

Fewell, Kelli S is an individual health care provider with primary practice located at 610 3Rd St Sw , Magee MS 39111-3994. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fewell, Kelli S can be contacted via phone (601) 439-7221.

Contact Information

Primary practice address
610 3Rd St Sw Magee MS 39111-3994
Phone: (601) 439-7221
Fax: (601) 721-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R879688 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X R879688 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R879688 Mississippi

Profile Details

NPI number 1154684363
LBN Legal business name Fewell, Kelli S
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated May 23rd, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154684363 NPPES
Mississippi MEDICAID 04038362
Mississippi MEDICAID 004038362

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