Individual
DR. INEZ M KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 BROAD AVE, STE 450, GULFPORT, MS 39503
(228) 867-5012
(228) 867-5262
Mailing address
1397 BROAD AVE, GULFPORT, MS 39501-2419
(228) 575-1945
(228) 575-1964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16601
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07555001
—
MS
Enumeration date
12/13/2006
Last updated
06/13/2024
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