Individual
DR. KANIESHAWA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 685-0918
Mailing address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 685-0918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T-5465
MS
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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