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Contact Information

INEZ M KELLEHER, MD
1340 BROAD AVE
STE 450
GULFPORT, MS39503
 Phone: 228-867-5012
 Fax: 228-867-5262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INEZ M KELLEHER · (Female)

NPI Number 1588725519
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 06/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # 16601
  • MS Medicaid 07555001
Hospital affiliation(s)
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
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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