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Individual

DANIEL H KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 MARSHALL ST STE 104, JACKSON, MS 39202-1663
(601) 969-6404
(601) 973-4541
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27519
MS

Other

Enumeration date
04/04/2017
Last updated
06/13/2024
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