Nations, Kelly Michelle

Nations, Kelly Michelle is an individual health care provider with primary practice located at 1510 Thornton Ave , Gulfport MS 39501-2157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Nations, Kelly Michelle can be contacted via phone (622) 886-5356.

Contact Information

Primary practice address
1510 Thornton Ave Gulfport MS 39501-2157
Phone: (622) 886-5356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17136 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 024354 Louisiana

Profile Details

NPI number 1487601050
LBN Legal business name Nations, Kelly Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 24th, 2008 - about 18 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 1487601050 NPPES
Louisiana MEDICAID 1570427

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