Kelly, Peggy L

Kelly, Peggy L is an individual health care provider with primary practice located at 1350 E Woodrow Wilson Ave , Jackson MS 39216-5112. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kelly, Peggy L can be contacted via phone (601) 981-2611.

Contact Information

Primary practice address
1350 E Woodrow Wilson Ave Jackson MS 39216-5112
Phone: (601) 981-2611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0031 Mississippi

Profile Details

NPI number 1629243100
LBN Legal business name Kelly, Peggy L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 16 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.

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