Individual
MRS. LAURI MCKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
830 S GLOSTER STREET, 4TH FLOOR EAST TOWER, TUPELO, MS 38801
(662) 377-7100
(662) 377-5736
Mailing address
PO BOX 829, TUPELO, MS 38802
(662) 377-7100
(662) 377-5736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R714364
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04383223
—
MS
Enumeration date
07/06/2006
Last updated
09/25/2015
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