Search › Mississippi › 1041C0700X
Kelley Moule, MSW, LMSW
NPI 1689984916 · on the registry since 2010
Practice
- Address
- 911 Ellis Ave
Jackson, MS 39209 - Phone
- (601) 533-7016
- Clinicians at this address
- 13
Additional practice sites
- 301 Palmetto Park Blvd, Lexington, SC
- 1 Medical Plaza Dr Ste B, Vicksburg, MS
- 3600 Bluecutt Rd Ste 202, Columbus, MS
- 1200 N State St Ste 455, Jackson, MS
- 4541 N State St, Jackson, MS
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- SC, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-13
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