Kiley Selman Mclendon FNP

NPI 1780849109 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1780849109
Gender Female
Enumeration Date 07/24/2008
Last Updated 07/22/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
MONTICELLO MS, 39654-7682, US
Phone (601) 587-1433
Fax (601) 587-1625
Business Location
PO BOX 490
MCCOMB MS, 39649-0490, US
Phone (601) 587-1433
Fax (601) 833-1855
Taxonomy Code 363LF0000X
License State Mississippi
License Number R871957
Remove 1780849109 NPI Number

According to our database, Kiley Selman Mclendon FNP NPI is 1780849109, taxonomy code is 363LF0000X and license number is R871957, license state is located at Mississippi. Kiley Selman Mclendon FNP physically located at 1135 E Broad St, Monticello MS, 39654-7682. NPI Number Kiley Selman Mclendon FNP has the Individual type.

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1780849109 NPI number is provided on an as is basis without warranty of any kind. 1780849109 is maintained by the National Plan & Provider Enumeration System. The contents of Kiley Selman Mclendon FNP are for informational purposes only.