Kelzer, Mary Beth
Kelzer, Mary Beth is an individual health care provider with primary practice located at 1730 14Th Street Suite C, Meridian MS 39301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Kelzer, Mary Beth can be contacted via phone (601) 703-9396.Contact Information
Primary practice address
1730 14Th Street Suite C
Meridian MS 39301
Phone: (601) 703-9396
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | R862793 | Mississippi |
Profile Details
| NPI number | 1215032545 |
|---|---|
| LBN Legal business name | Kelzer, Mary Beth |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215032545 | NPPES |
| Mississippi | MEDICAID | 00122792 |
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