NPI 1013282961
Shenika Sharee Kelly
Practice location
- Address
- 514 E Woodrow Wilson Ave STE G, Jackson, MS 39216
- Phone
- (769) 572-4425
- Fax
- (844) 270-0967
- Mailing address
- 219 Greenfield Ridge Dr, Brandon, MS 39042-7023
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1013282961
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Mar 2012
- Record last updated
- 3 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.