Individual
KELSEY A NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4621
(513) 708-4211
Mailing address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4621
(513) 708-4211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00337
MS
363A00000X
Physician Assistant
PA2047
KY
Other
Enumeration date
08/28/2015
Last updated
07/21/2022
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