Mark C Kelley, DO

NPI #1427004704 in Grenada, Mississippi

Provider Information

NPI Number: 1427004704
Entity Type: Individual
Name: Mark C Kelley, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: DO
Enumeration Date: May 26, 2006
Last Updated: Apr 15, 2008

Practice Location

Address: 1300 SUNSET DR
Address 2: SUITE A
City: Grenada
State: Mississippi
ZIP Code: 38901-4086
Phone: (662) 227-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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