KELTON KINGSLEY

JACKSON, MS
NPI1457939605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  T-4457)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-30
Last Update Date2021-07-11
Business Address
KELTON KINGSLEY MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
KELTON KINGSLEY MD
4310 ROSWELL CT
JACKSON, MS 39211-5924
Phone number: 662-436-4471