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

Dr. Kenneth W Kellough, MD

Individual provider Internal Medicine Physician · NPI 1609815000

Dr. Kenneth W Kellough, MD is an Emergency Medicine in Clarksdale, Mississippi. Graduated from University of Texas Medical Branch at Galveston in 1996, 30 years ago. Practices with Rh Emergency Medicine of Cleveland LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
30
Trained at
University of Texas Medical Branch at Galveston
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 N State St
Clarksdale, MS 38614-6519
Phone: (662) 621-2192
Fax: (662) 621-2314
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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 number1609815000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESDecember 3, 2009
Mailing address705 N State St, Clarksdale, MS 38614-6519

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1996 (30 years in practice)
Group practice Rh Emergency Medicine Of Cleveland Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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