Individual
KELVINNA MCLEMORE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1911 READ RD, PICAYUNE, MS 39466-2730
(601) 251-3500
(601) 251-3504
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-3700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP07238
LA
363LF0000X
Family Nurse Practitioner
Primary
R875811
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00377010
—
MS
01
—
12587886
CAQH NUMBER
MS
01
—
3661624
UNITED HEALTH CARE PIN
MS
Enumeration date
03/24/2013
Last updated
04/04/2024
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