Grace P Kelly Md
LBN: Grace P Kelly Md
Grace P Kelly Md is an health care organization with primary practice located at 5000 Highway 39 N , Meridian MS 39301-1021. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty.
Grace P Kelly Md can be contacted via phone (601) 453-5393, or through Kelly, Grace Patricia via phone (601) 453-5393.
Contact Information
Primary practice address
5000 Highway 39 N
Meridian MS 39301-1021
Phone: (601) 453-5393
Fax: (601) 581-9936
Website:
Authorized official contact:
Name: Kelly, Grace Patricia Doctor of Medicine (MD)
Phone: (601) 453-5393
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | MS11556 | Mississippi |
Profile Details
NPI number | 1598933616 |
---|---|
LBN Legal business name | Grace P Kelly Md |
DBA Doing business as | |
Authorized official | Kelly, Grace Patricia Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 11th, 2008 |
Last updated | Jun 19th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598933616 | NPPES |
Mississippi | Other | 072503544E | BLUE CROSS |
Mississippi | MEDICAID | 0001284 | BLUE CROSS |
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