Mask, Kelly Susanne

Mask, Kelly Susanne is an individual health care provider with primary practice located at 2798 Pass Rd , Biloxi MS 39531-2626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mask, Kelly Susanne can be contacted via phone (228) 200-0340.

Contact Information

Primary practice address
2798 Pass Rd Biloxi MS 39531-2626
Phone: (228) 200-0340
Fax: (228) 200-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R860508 Mississippi

Profile Details

NPI number 1992836423
LBN Legal business name Mask, Kelly Susanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 19th, 2023 - about last year

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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