Individual provider · Type 1 NPI

Hailey Daniels Kelly, PA-C

Surgical Physician Assistant · Jackson, MS

NPI number 1154951739 Active

Practice location

1325 E Fortification St
Jackson, MS 39202-2442

Call (601) 354-4488 Map

Mailing address

2010 Highpointe Dr Apt 187
Brandon, MS 39042-2924

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00468 (MS)

Surgical Physician Assistant: Definition to come...

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About NPI 1154951739

Hailey Daniels Kelly, PA-C's National Provider Identifier is 1154951739, issued on Jan 22, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jackson, MS. The record was last updated on Jul 6, 2020.