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Search › Mississippi › 225200000X

Levella Kelly, PTA

NPI 1366856924 · on the registry since 2014 · sole proprietor

Practice

Address
3856 Noble St
Apt 811
Jackson, MS 39209
Phone
(601) 473-4992
Organisation at this address
Divine Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-11

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