IndividualActive
Kellan Ashley, MD
NPI 1790714954 · Interventional Cardiology Physician · Jackson, MS
Provider details
- NPI number
- 1790714954
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 57.011859 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2500 N State Street
Cardiology
Jackson, MS 39216-4500
Phone: (601) 984-5678
Fax: (601) 984-5638
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.