Organization
KELLIE'S KIDZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE THOMPSON HUGHES OTR/L (OCCUPATIONAL THERAPIST)
(228) 872-3042
Entity
Organization
Contact information
Practice address
1528 S 11TH ST, OCEAN SPRINGS, MS 39564-9543
(228) 872-3042
Mailing address
1528 S 11TH ST, OCEAN SPRINGS, MS 39564-9543
(228) 872-3042
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119909
—
MS
05
—
06733797
—
MS
Enumeration date
09/17/2006
Last updated
08/22/2020
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