Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK C KELLEY, DO
ActiveMARK C KELLEY, DO is a Dermatology healthcare provider located in GRENADA, Mississippi. NPI 1427004704 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GRENADA, MS
Registration Details
- NPI Number
- 1427004704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.234839865808 yrs)
- Last Updated
- Apr 15, 2008
- License
-
16693 (MS)
Practice Information
- Address
-
1300 SUNSET DRSUITE AGRENADA, MS, 389014086Browse MS providers · Browse ZIP 38901
- Phone
- 6622274463
- Fax
- 6622265257
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in GRENADA, MS
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN A MARASCALCO | MD | 1568571560 |
| DR. CESAR ENRIQUE GUERRERO | MD | 1720378169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.