Individual
MRS. MARILYN RHOADS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
202 N 1ST ST, BOONEVILLE, MS 38829-2718
(662) 340-1138
(662) 728-5185
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
574996
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08138363
—
MS
Enumeration date
11/30/2005
Last updated
10/03/2025
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