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General NPI Number Information
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NPI Number | 1952698532
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Entity Type | Individual
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Provider Name | KELLEN TRAVIS JEX MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 136 JEFF DAVIS BLVD STE B
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City | NATCHEZ
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State | MS
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Zip | 39120
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Country | US
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Telephone | 601-492-2224
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Fax | 601-492-2231
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Provider Business Mailing Address
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Address Line | 136 JEFF DAVIS BLVD STE B
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City | NATCHEZ
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State | MS
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Zip | 39120
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Country | US
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Telephone | 601-492-2224
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Fax | 601-492-2231
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 207975
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23270
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 207975
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 23270
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License Number State | MS
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