Kelli E Brogan, is a
Occupational Therapist based in Soso, Mississippi. Kelli E Brogan is licensed to practice in Mississippi (license number OT3154) and her current practice location is
478 Sandhill Church Rd, Soso, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 422-3860.
NPI number for Kelli E Brogan is 1295254480 and her current mailing address is 478 Sandhill Church Rd, Soso, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295254480.
Healthcare Provider's Profile
Full Name | Kelli E Brogan |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 478 Sandhill Church Rd, Soso, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295254480
- Provider Enumeration Date: 09/19/2017
- Last Update Date: 09/19/2017
Medical Identifiers
Medical identifiers for Kelli E Brogan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295254480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT3154 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli E Brogan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelli E Brogan, 478 Sandhill Church Rd, Soso, MS 39480-5104 Ph: () - | Kelli E Brogan, 478 Sandhill Church Rd, Soso, MS 39480-5104 Ph: (601) 422-3860 |
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