Search › Mississippi › 152W00000X
Kregg Bly, O.D
NPI 1679672729 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5300 Highway 18 W
Jackson, MS 39209 - Phone
- (601) 922-3233
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-21
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