Individual
MR. JAMES CLIFTON KELLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
204 MAIN ST, COLLINS, MS 39428-0327
(601) 765-6817
Mailing address
PO BOX 327, COLLINS, MS 39428-0327
(601) 765-6817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06945
MS
Other
Enumeration date
05/17/2007
Last updated
01/24/2019
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