Kelleher, Inez M
Kelleher, Inez M is an individual health care provider with primary practice located at 1340 Broad Ave Ste 450, Gulfport MS 39503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Kelleher, Inez M can be contacted via phone (228) 867-5012.Contact Information
Primary practice address
1340 Broad Ave Ste 450
Gulfport MS 39503
Phone: (228) 867-5012
Fax: (228) 867-5262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 16601 | Mississippi |
Profile Details
| NPI number | 1588725519 |
|---|---|
| LBN Legal business name | Kelleher, Inez M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jun 13th, 2024 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588725519 | NPPES |
| Mississippi | MEDICAID | 07555001 |
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