Individual
KELLEN DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 OLD CANTON RD, JACKSON, MS 39216-4219
(800) 685-3772
Mailing address
3120 OLD CANTON RD, JACKSON, MS 39216-4219
(337) 654-1478
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
31541
MS
Other
Enumeration date
04/01/2018
Last updated
10/06/2025
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