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Ms. Kelly S. Thornton, FNP
Family Nurse Practitioner in Booneville, Mississippi
NPI 1750492203

Kelly S. Thornton is a Family Nurse Practitioner based in Corinth, MS and is specialized in Family. Kelly S. Thornton practices in Booneville, MS and has the professional credentials of FNP. The NPI Number for Kelly S. Thornton is 1750492203 and holds a License No. R853167 (Mississippi).

The current practice location address for Kelly S. Thornton is 2209 N 2Nd St, Booneville, MS and can be reached out via phone at 662-728-0162 and via fax at 662-728-0326.

Location: 2209 N 2Nd St, Booneville, MS, 38834-7954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750492203
Provider Name
Kelly S. Thornton
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2209 N 2Nd St, Booneville, MS, 38834-7954
Phone Number
662-728-0162
Fax Number
662-728-0326
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00086795 05 MS
institution
Provider Business Practice Location Address Details
Address
2209 N 2Nd St
City
Booneville
State
Mississippi
Zip
38829-7734
Phone Number
662-728-0162
Fax Number
662-728-0326
person
Provider Business Mailing Address Details
Address
2209 N 2Nd St
City
Booneville
State
Mississippi
Zip
38829-7734
Phone Number
662-728-0162
Fax Number
662-728-0326
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R853167 (Mississippi)
Definition
Definition to come...
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