NPI 1023505161
Kaylise Angelle Trahan, MD
Practice location
- Address
- 2100 Highway 61 N, Vicksburg, MS 39183-8211
- Phone
- (601) 883-5000
- Mailing address
- 2500 N State St, Jackson, MS 39216-4500
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1023505161
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Apr 2018
- Record last updated
- 15 Jun 2021
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.