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General NPI Number Information
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NPI Number | 1740665918
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Entity Type | Individual
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Provider Name | MARY FRANCES KELLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 301 FISHER ST
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City | BILOXI
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-0446
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Fax | 228-376-0159
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Provider Business Mailing Address
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Address Line | 301 FISHER ST
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City | BILOXI
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-0446
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Fax | 228-376-0159
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | MS5809
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH7947
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT5809
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License Number State | MS
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