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Janet Kelly

Nurse Practitioner, Family in Carthage, MS. Individual provider (NPI-1).

NPI number1396252011
StatusActive
Last updated in NPPESMar 20, 2022

Details

NPI
1396252011
Entity type
Individual (NPI-1)
Name
Janet Kelly
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 3, 2018
Certification date
Mar 20, 2022
Last updated
Mar 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Familyf12170203MSYes

Practice location

1071 E Franklin St
Carthage, MS 39051-3601

Phone 601-267-4562 · Fax 601-267-4589

Mailing address

1071 E Franklin St
Carthage, MS 39051-3601

Phone 601-267-4562 · Fax 601-267-4589

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