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

Mick Henry Kelly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053240507

Mick Henry Kelly is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4505
Phone: (601) 508-1170
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053240507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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