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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLEY EVANS

Active Sole Proprietor

KELLEY EVANS is a Bus healthcare provider located in FOREST, Mississippi. NPI 1588903066 is currently active in the NPPES registry. Verify at CMS.

Bus · FOREST, MS

Registration Details

NPI Number
1588903066
Provider Type
Individual
Gender
Male
NPI Issued
Feb 4, 2013 (13.33496961769 yrs)
Last Updated
Feb 4, 2013
License
801255243 (MS)
Sole Proprietor
Yes

Practice Information

Address
6634 HIGHWAY 35 N
FOREST, MS, 390749674
Browse MS providers · Browse ZIP 39074
Phone
6018133638
Primary Specialty
Bus
343900000X
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.