Individual
KELLEY CHRISTIAN GOWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
(601) 509-2585
Mailing address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
(601) 509-2585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
860748
MS
363LF0000X
Family Nurse Practitioner
Primary
R860748
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04424823
—
MS
Enumeration date
11/20/2009
Last updated
07/22/2026
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