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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICK HENRY KELLY
NPI 1053240507
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since May 19, 2026
2500 N STATE ST, JACKSON, MS 39216(601) 508-1170 Get Directions Write a Review

NPPES record added: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mick Henry Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICK HENRY KELLY (NPI 1053240507) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1053240507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICK HENRY KELLY
Location Address2500 N STATE STJackson, MS 39216-4505
Mailing Address2500 N State StJackson, MS 39216-4505
Phone(601) 508-1170
Sole ProprietorNo
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1053240507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mick Kelly's NPI number?

The NPI number for Mick Kelly is 1053240507. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Mick Kelly located?

Mick Kelly practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 508-1170.

What is Mick Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mick Kelly was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.