NPI 1679596613 · live from the CMS NPI Registry
Kelley Bishop, MD
Family Medicine in Jackson, MS. National Provider Identifier 1679596613, active.
NPI record
| NPI | 1679596613 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2500 N State St, Jackson, MS 39216 |
| Practice phone | 601-984-1000 |
| Enumerated | July 25, 2006 |
| Last updated | October 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 16770 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.