Mclendon, Kiley Selman

Mclendon, Kiley Selman is an individual health care provider with primary practice located at 1135 E Broad St , Monticello MS 39654-7682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mclendon, Kiley Selman can be contacted via phone (601) 587-1433.

Contact Information

Primary practice address
1135 E Broad St Monticello MS 39654-7682
Phone: (601) 587-1433
Fax: (601) 587-1625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R871957 Mississippi

Profile Details

NPI number 1780849109
LBN Legal business name Mclendon, Kiley Selman
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Jul 22nd, 2015 - about 10 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 1780849109 NPPES
Mississippi MEDICAID 01452240

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