Individual
MRS. KELLY MCIVER TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2228 MILITARY RD, COLUMBUS, MS 39705-2456
(662) 328-0044
(662) 328-0046
Mailing address
2228 MILITARY RD, COLUMBUS, MS 39705-2456
(662) 328-0044
(662) 328-0046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3410-07
MS
122300000X
Dentist
5084
AL
Other
Enumeration date
11/02/2006
Last updated
04/15/2013
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