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Contact Information

KELSEY E KOCH, MD
971 LAKELAND DR STE 657
JACKSON, MS39216-4608
 Phone: 601-200-2780
 Fax: 601-200-2788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KELSEY E KOCH · (Female)

NPI Number 1619327848
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2016
Last updated 11/15/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • IA License # R-10660
  • MS License # 35449
Hospital affiliation(s) Not Available
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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