Mr. Kelly Roger Hersey
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Mr. Kelly Roger Hersey, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Mr. Kelly Roger Hersey is
2500 N State St, Jackson, Mississippi - 39216-4500. He can be contacted on phone at
601-815-7100.
Mr. Kelly Roger Hersey is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Kelly Roger Hersey is
1083641823 which was assigned by NPPES on 27 Jun, 2006 and it was last updated on 27 Jun, 2012.
Mr. Kelly Roger Hersey license number is
15107 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Mississippi.
Mr. Kelly Roger Hersey is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Mr. Kelly Roger Hersey basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Mr. Kelly Roger Hersey |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mr. Kelly Roger Hersey address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-7100 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083641823 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jun, 2006 |
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| Last Updated On : | 27 Jun, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kelly Roger Hersey are as mentioned. Primary taxonomy code for Mr. Kelly Roger Hersey, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 15107 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Kelly Roger Hersey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03439561 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-7100 |
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Business Location:
Patients can refer following map for directions to
Mr. Kelly Roger Hersey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.