North Delta Medicine Clinic P A

  • 1780778571 NPI Number
  • |
  • Actived: 17 years ago
  • |
North Delta Medicine Clinic P A is a health care provider based in Clarksdale, MS. The NPI Number is 1780778571 and it has been active since 17 years ago. The specialty is Internal Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Internal Medicine services, North Delta Medicine Clinic P A is an excellent option. We are here to help you get the care you need.

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Overview of North Delta Medicine Clinic P A

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/03/2006
  • Last updated: 12/03/2009

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 16776
  • License State: MS

Provider Mailing Address

  • Address: Po Box 1930
    Clarksdale, MS 38614
  • Phone: 662-621-2192
  • Fax: 662-621-2314

Provider Practice Location

  • Address: 705 N State St
    Clarksdale, MS 38614
  • Phone: 662-621-2192
  • Fax: 662-621-2314

Authorized Official

  • Name: DR. Kenneth Wayne Kellough M.D.
  • Position/Title: Owner
  • Telephone Number: 662-621-2192

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 16776
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 01188776
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for North Delta Medicine Clinic P A?
  • A: The npi number for North Delta Medicine Clinic P A is 1780778571.
  • Q: What are North Delta Medicine Clinic P A's specialties?
  • A: North Delta Medicine Clinic P A's specialties are Internal Medicine and different specialities.
  • Q: Where is North Delta Medicine Clinic P A business practice location?
  • A: North Delta Medicine Clinic P A business practice location is 705 N State St, Clarksdale, MS 38614.
  • Q: How to contact North Delta Medicine Clinic P A?
  • A: You can contact North Delta Medicine Clinic P A via 662-621-2192.
  • Q: What is the authorized official for North Delta Medicine Clinic P A?
  • A: The authorized office name is DR. Kenneth Wayne Kellough M.D. with position/title is Owner and you can reach the authorized official via phone number 6626212192.
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