Provider Demographics
NPI:1104632462
Name:STRICKLAND, KAYLEE BRENNA (MED)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:BRENNA
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 COUNTY ROAD 1389
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-7113
Mailing Address - Country:US
Mailing Address - Phone:662-255-3483
Mailing Address - Fax:
Practice Address - Street 1:210 E MAIN ST STE 2C
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-4017
Practice Address - Country:US
Practice Address - Phone:662-255-3483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health