Kelly Roger Hersey in Jackson - Neonatal-perinatal Medicine

Kelly Roger Hersey - NPI 1083641823

Kelly Roger Hersey is a Neonatal-perinatal Medicine in Jackson, Mississippi. Kelly Roger Hersey practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Kelly Roger Hersey is 1083641823. The last update date is 2012-06-27.

Kelly Roger Hersey's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018157100. The mailing address for Kelly Roger Hersey is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Roger Hersey
Address 2500 N State St, Jackson, Mississippi
Phone Number 6018157100
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1083641823
Provider Enumeration Date 2006-06-27
Last Updated Date 2012-06-27

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6018157100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 15107
Definition:
A pediatrician who 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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3439561 MS --

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FAQs about Kelly Roger Hersey

What is the unique identification code assigned to Kelly Roger Hersey by the Centers for Medicare & Medicaid Services?

The Kelly Roger Hersey has been issued the NPI (National Provider Identifier) 1083641823. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kelly Roger Hersey?

The Kelly Roger Hersey is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.

What is Kelly Roger Hersey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelly Roger Hersey is Neonatal-perinatal Medicine, and the taxonomy code that classifies this field of practice is 2080N0001X.

When did Kelly Roger Hersey receive its 1083641823 assignment?

The Kelly Roger Hersey was assigned its 1083641823 on 2006-06-27, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Kelly Roger Hersey, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kelly Roger Hersey, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-27.

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