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1750032645
KIMBERLY KELLEY
JACKSON, MS
NPI
1750032645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 903622)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
KIMBERLY KELLEY NP
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
KIMBERLY KELLEY NP
139 BRIERFIELD DR
MADISON, MS 39110-7767
Phone number: 601-720-7957
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