Kelly Lynn Halstead

NPI #1235918723 in Gautier, Mississippi

Provider Information

NPI Number: 1235918723
Entity Type: Individual
Name: Kelly Lynn Halstead
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 3407 SHAMROCK CT
City: Gautier
State: Mississippi
ZIP Code: 39553-5337
Phone: (228) 497-0690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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