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Individual

DR. ANASTASIA KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2124 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3937
(228) 818-9050
(228) 872-6300
Mailing address
2124 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3937
(228) 818-9050
(228) 872-6300

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18977
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02783391
MS
Enumeration date
10/11/2006
Last updated
07/08/2007
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