Grace P Kelly Md

LBN: Grace P Kelly Md
Grace P Kelly Md is an health care organization with primary practice located at 5000 Highway 39 N , Meridian MS 39301-1021. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. Grace P Kelly Md can be contacted via phone (601) 453-5393, or through Kelly, Grace Patricia via phone (601) 453-5393.

Contact Information

Primary practice address
5000 Highway 39 N Meridian MS 39301-1021
Phone: (601) 453-5393
Fax: (601) 581-9936
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Grace Patricia Doctor of Medicine (MD)
Phone: (601) 453-5393

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X MS11556 Mississippi

Profile Details

NPI number 1598933616
LBN Legal business name Grace P Kelly Md
DBA Doing business as
Authorized official Kelly, Grace Patricia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Jun 19th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598933616 NPPES
Mississippi Other 072503544E BLUE CROSS
Mississippi MEDICAID 0001284 BLUE CROSS

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