Individual
MR. JOBY GARRARD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
(662) 307-2887
Mailing address
PO BOX 306415, NASHVILLE, TN 37230-6415
(931) 253-1110
(931) 253-1190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905988
MS
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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