Kelly, Grace Patricia
Kelly, Grace Patricia is an sole proprietor health care provider with primary practice located at 5000 Highway 39 N Suite B, Meridian MS 39301-1021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kelly, Grace Patricia can be contacted via phone (601) 581-9942.Contact Information
Primary practice address
5000 Highway 39 N Suite B
Meridian MS 39301-1021
Phone: (601) 581-9942
Fax: (601) 581-9936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MS11556 | Mississippi |
Profile Details
| NPI number | 1255462230 |
|---|---|
| LBN Legal business name | Kelly, Grace Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jun 19th, 2013 - about 11 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 | 1255462230 | NPPES |
| Mississippi | MEDICAID | 00011284 |
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