Individual
KILEY SELMAN MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 587-4051
(601) 587-1256
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 587-1433
(601) 587-1625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01452240
—
MS
Enumeration date
07/24/2008
Last updated
05/15/2025
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