Individual provider · Type 1 NPI

Carlie E. Kellems

Student in an Organized Health Care Education/Training Program · Hattiesburg, MS

NPI number 1164066338 Active

Practice location

118 College Dr
Hattiesburg, MS 39406-0002

Call (601) 266-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164066338

Carlie E. Kellems's National Provider Identifier is 1164066338, issued on Oct 31, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 31, 2019.