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Individual

KELSEY MELANE DEMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
39 SOUTH STREET, CALEDONIA, MS 39740
(662) 356-1560
(662) 356-1569
Mailing address
50228 GREENWOOD SPRINGS RD, GREENWOOD SPRINGS, MS 38848-8747
(662) 436-3039

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
912758
MS
363LF0000X
Family Nurse Practitioner
Primary
906449
MS

Other

Enumeration date
12/12/2023
Last updated
07/25/2025
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