Organization
KELLY HEALTH & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOBY G KELLY CFNP (OWNER/PROVIDER)
(662) 219-3513
Entity
Organization
Contact information
Practice address
102 E CLAIBORNE AVE STE D, GREENWOOD, MS 38930-3518
(662) 219-3513
(662) 219-3514
Mailing address
102 E CLAIBORNE AVE, GREENWOOD, MS 38930-3518
(662) 219-3513
(662) 219-3514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/22/2025
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