Jex, Kellen Travis

Jex, Kellen Travis is an individual health care provider with primary practice located at 136 Jeff Davis Blvd Ste B, Natchez MS 39120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jex, Kellen Travis can be contacted via phone (601) 492-2224.

Contact Information

Primary practice address
136 Jeff Davis Blvd Ste B Natchez MS 39120
Fax: (601) 492-2231
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23270 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207975 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 207975 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 23270 Mississippi

Profile Details

NPI number 1952698532
LBN Legal business name Jex, Kellen Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Sep 14th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952698532 NPPES
Mississippi Other 1X4393 MEDICARE
Mississippi Other 656228 MEDICARE
Mississippi MEDICAID 03506041 MEDICARE
Mississippi MEDICAID 2390007 MEDICARE

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