Waldrop, Kelly L

Waldrop, Kelly L is an individual health care provider with primary practice located at 5 River Bend Pl Suite C, Flowood MS 39232-7618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Waldrop, Kelly L can be contacted via phone (601) 957-7345.

Contact Information

Primary practice address
5 River Bend Pl Suite C Flowood MS 39232-7618
Phone: (601) 957-7345
Fax: (769) 251-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X WAL104405434 Mississippi

Profile Details

NPI number 1811435175
LBN Legal business name Waldrop, Kelly L
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2017
Last updated Sep 26th, 2019 - about 7 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 1811435175 NPPES
Mississippi MEDICAID 01874879

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