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1457394090
MARK KELLY
LAUREL, MS
NPI
1457394090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MS 17057)
Enumeration Date
2006-06-13
Last Update Date
2014-02-11
Business Address
Dr. MARK KELLY DO
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-426-4507
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Mailing Address
Dr. MARK KELLY DO
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-399-6167
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