Individual
DR. GRACE PATRICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5003 POPLAR SPRINGS DR, MERIDIAN, MS 39305-1625
(601) 453-5376
(888) 735-7202
Mailing address
PO BOX 520, MARION, MS 39342-0520
(601) 453-5393
(601) 581-9936
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MS11556
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011284
—
MS
Enumeration date
03/08/2007
Last updated
02/17/2025
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