Ms. Mary Beth Kelzer
Nurse Practitioner - Neonatal
1730 14th Street Suite C
Meridian
, Mississippi 39301
Ms. Mary Beth Kelzer
Nurse Practitioner - Neonatal
1730 14th Street Suite C
Meridian
, Mississippi 39301
(334) 277-2020
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Ms. Mary Beth Kelzer
- 9931 Dogwood Ct
- Montgomery, AL
- Zip : 36117-5605
- Phone : (334) 277-2020
Second Address
- Ms. Mary Beth Kelzer
- 1730 14th Street Suite C
- Meridian, MS
- Zip : 39301
- Phone : (601) 703-9396
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | R862793 | MS |
National Provider Identifier
| NPI | 1215032545 |
|---|---|
| Provider Name | Ms. Mary Beth Kelzer |
| First Address | Montgomery, AL 36117-5605 |
| Second Address | Meridian, MS 39301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00122792 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.