Individual
MS. MARY BETH KELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1730 14TH STREET, SUITE C, MERIDIAN, MS 39301
(601) 703-9396
Mailing address
9931 DOGWOOD CT, MONTGOMERY, AL 36117-5605
(334) 277-2020
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R862793
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122792
—
MS
Enumeration date
09/13/2006
Last updated
07/09/2007
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