Individual
DR. KELLEN TRAVIS JEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 JEFF DAVIS BLVD, STE B, NATCHEZ, MS 39120
(601) 492-2224
(601) 492-2231
Mailing address
136 JEFF DAVIS BLVD STE B, NATCHEZ, MS 39120-5104
(601) 492-2224
(601) 492-2231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207975
LA
207R00000X
Internal Medicine Physician
23270
MS
207RG0100X
Gastroenterology Physician
207975
LA
207RG0100X
Gastroenterology Physician
Primary
23270
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03506041
—
MS
01
—
1X4393
MEDICARE
MS
05
—
2390007
—
LA
01
—
656228
MEDICARE
LA
Enumeration date
07/05/2011
Last updated
04/16/2026
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