Organization
MISS-LOU GI PLLC
Active
Organization
MISS-LOU GI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEN T JEX MD (OWNER)
(601) 597-4449
Entity
Organization
Contact information
Practice address
136 JEFF DAVIS BLVD, STE B, NATCHEZ, MS 39120
(601) 492-2224
(601) 492-2231
Mailing address
136 JEFF DAVIS BLVD, STE B, NATCHEZ, MS 39120
(601) 492-2224
(601) 492-2231
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03506041
—
MS
05
—
2390007
—
LA
Enumeration date
11/23/2021
Last updated
03/31/2022
Update your record
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