North Delta Medicine Clinic P A - Primary Care in Clarksdale, MS

North Delta Medicine Clinic P A is a primary clinic (Internal Medicine) in Clarksdale, Mississippi. The current practice location for North Delta Medicine Clinic P A is 705 N State St, Clarksdale, Mississippi. For appointments, you can reach them via phone at (662) 621-2192. The mailing address for North Delta Medicine Clinic P A is Po Box 1930, Clarksdale, Mississippi and phone number is (662) 621-2192.

North Delta Medicine Clinic P A is licensed to practice in Mississippi (license number 16776) and its NPI number is 1780778571. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (662) 621-2192.

Contact Information

North Delta Medicine Clinic P A
705 N State St
Clarksdale
MS 38614-6519
(662) 621-2192
(662) 621-2314

Primary Care Clinic Profile

Full NameNorth Delta Medicine Clinic P A
SpecialityInternal Medicine
Location705 N State St, Clarksdale, Mississippi
Authorized Official Name and PositionKenneth Wayne Kellough (OWNER)
Authorized Official Contact6626212192
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
North Delta Medicine Clinic P A
Po Box 1930
Clarksdale
MS 38614-7930

Ph: (662) 621-2192
North Delta Medicine Clinic P A
705 N State St
Clarksdale
MS 38614-6519

Ph: (662) 621-2192

NPI Details:

NPI Number1780778571
Provider Enumeration Date10/03/2006
Last Update Date12/03/2009

Medical Identifiers

Medical identifiers for North Delta Medicine Clinic P A such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780778571NPI-NPPES
01188776MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 16776 (Mississippi)Primary

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