HAILEY D KELLY, PA-C, Surgical JACKSON, MS

Contact Information

HAILEY D KELLY, PA-C

1325 E FORTIFICATION ST
JACKSON, MS 39202-2442

Phone: 601-354-4488
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for HAILEY D KELLY · (Female)

NPI Number	`1154951739`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	01/22/2020
Last updated	07/06/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	MS License # PA00468
Hospital affiliation(s)	KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care) P O BOX 948/427 HIGHWAY 51 NORTH BROOKHAVEN, MS 39601 MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care) 1225 N STATE ST JACKSON, MS 39202

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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HAILEY D KELLY, PA-C – NPI #1154951739Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for HAILEY D KELLY · (Female)

Reviews for HAILEY D KELLY

HAILEY D KELLY, PA-C – NPI #1154951739
Surgical