Kelly K Land CFNP

NPI 1154369700 - Internal Medicine - 207R00000X

NPI Details
NPI 1154369700
Gender Female
Enumeration Date 06/04/2006
Last Updated 04/10/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2500 NORTH STATE ST
DEPARTMENT OF MEDICINE DIVISION OF GENERAL INTERNAL MED
JACKSON MS, 39216, US
Phone (601) 984-5660
Fax (601) 984-6870
Business Location
2500 N STATE ST
DEPT OF MEDICINE
JACKSON MS, 39216-4500, US
Phone (601) 984-5660
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Mississippi
License Number R855212
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According to our database, Mrs. Kelly K Land CFNP NPI is 1154369700, taxonomy code is 207R00000X and license number is R855212, license state is located at Mississippi. Kelly K Land CFNP physically located at 2500 North State St, Jackson MS, 39216. NPI Number Kelly K Land CFNP has the Individual type.

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1154369700 NPI number is provided on an as is basis without warranty of any kind. 1154369700 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly K Land CFNP are for informational purposes only.