Individual
MRS. KRISTAN S KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1455 N LAKELAND DR, MERIDIAN, MS 39307-9020
(601) 581-8450
(601) 512-2250
Mailing address
127 SHIELDS RD, MERIDIAN, MS 39301-9140
(601) 513-2430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904831
MS
Other
Enumeration date
09/01/2021
Last updated
07/01/2025
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