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Kelly Buckholdt, PH.D
NPI 1083024079 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1500 E Woodrow Wilson Ave
Jackson, MS 39216 - Phone
- (601) 364-7903
- Organisation at this address
- Vamc
Va Jackson
Jackson Vamc
Jackson Vamc
Jackson VamcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 398
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi