KELLY MASSEY NPI 1023429974

NPI Information

  • NPI: 1023429974
  • Provider Name: KELLY MASSEY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 70 MEDICAL PLZ
    EUPORA, MS
    ZIP 39744
  • Phone: (662) 258-9400

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NPI Details

Kelly Massey is a family nurse practitioner in Eupora, MS with 12 years of experience. Kelly Massey NPI is 1023429974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

70 MEDICAL PLZ
EUPORA, MS
ZIP 39744-018
Phone: (662) 258-9400
Fax: (662) 258-9435

The NPI 1023429974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2014 and was last updated on 5/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR863259MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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