Individual
SHELDON REID KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-7631
Mailing address
69 OAKLEY RD, THAXTON, MS 38871-9703
(901) 522-6745
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905406
MS
Other
Enumeration date
07/14/2022
Last updated
05/02/2024
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