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Contact Information

KESHA M FLANTROY, MD
3502 W NORTHSIDE DR
JACKSON, MS39213-4454
 Phone: 601-362-5321
 Fax: 601-364-5159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KESHA M FLANTROY · (Female)

NPI Number 1164630349
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2007
Last updated 06/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME96498
  • FL Medicaid 2001153230A
  • MS Medicaid 01435098
Hospital affiliation(s)
  • CENTRAL MISSISSIPPI MEDICAL CENTER - (Acute Care)
    1850 CHADWICK DR
    JACKSON, MS 39204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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