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Individual

MARILYN ANNE KELLEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
108 S MAPLE ST STE B, RIDGELAND, MS 39157-2357
(601) 499-5191
Mailing address
108 S MAPLE ST STE B, RIDGELAND, MS 39157-2357

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905832
MS

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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