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1609815000
KENNETH W KELLOUGH
CLARKSDALE, MS
NPI
1609815000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 16776)
Enumeration Date
2006-06-04
Last Update Date
2009-12-03
Business Address
Dr. KENNETH W KELLOUGH M.D.
705 N STATE ST
CLARKSDALE, MS 38614-6519
Phone number: 662-621-2192
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Mailing Address
Dr. KENNETH W KELLOUGH M.D.
705 N STATE ST
CLARKSDALE, MS 38614-6519
Phone number: 662-621-2192
Copy
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