Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Delta Medicine Clinic P A

Organization Internal Medicine Physician · NPI 1780778571

North Delta Medicine Clinic P A is an Internal Medicine Physician in Clarksdale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

705 N State St
Clarksdale, MS 38614-6519
Phone: (662) 621-2192
Fax: (662) 621-2314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16776 (MS)

Record details

NPI number1780778571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Kellough — Owner · (662) 621-2192
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 3, 2009
Mailing addressPo Box 1930, Clarksdale, MS 38614-7930

Other providers in Clarksdale