Whalio Doctors

NPI 1023505161

Kaylise Angelle Trahan, MD

Practitioner Emergency Medicine Physician Vicksburg, MS

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
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 28095 (MS)

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.