Individual
KELLY MICHELLE NATIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1510 THORNTON AVE, GULFPORT, MS 39501-2157
(622) 886-5356
Mailing address
1510 THORNTON AVE, GULFPORT, MS 39501-2157
(622) 886-5356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
024354
LA
207P00000X
Emergency Medicine Physician
17136
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1570427
—
LA
Enumeration date
05/28/2006
Last updated
06/24/2008
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