Mark C Kelley, DO
Mark C Kelley is a Dermatology Physician provider (Dermatology) practicing in Grenada, MS, registered in the NPPES registry with NPI 1427004704 since 2006. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1427004704 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark C Kelley |
| Credential | DO |
| Sex | Male |
| Practice address | 1300 SUNSET DR, SUITE A, Grenada, MS, 38901 |
| Phone | 6622274463 |
| Fax | 6622265257 |
| Enumeration date | 2006-05-26 |
| Last updated in NPPES | 2008-04-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | 16693 | MS |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Copy-ready billing details
Provider: Mark Kelley, DO NPI: 1427004704 Taxonomy: 207N00000X (Dermatology Physician) Address: 1300 SUNSET DR, SUITE A, Grenada, MS, 38901
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083613210 | Mal Riddell | Individual | Family Medicine Physician | Grenada, MS |
| 1689666539 | Alwin Juchheim | Individual | Podiatrist | Grenada, MS |
| 1326024944 | Laboratory Corporation of America Holdings | Organization | Clinical Medical Laboratory | Grenada, MS |
| 1184685448 | Grenada Diagnostic Radiology | Organization | Clinic/Center | Grenada, MS |
| 1093760175 | John Seibel | Individual | Cardiovascular Disease Physician | Grenada, MS |
| 1093730962 | W. Boyd Massey, M.D., P.A. | Organization | Otolaryngology Physician | Grenada, MS |
| 1497770291 | Sunset Cardiovascular Services, LLC | Organization | Cardiovascular Disease Physician | Grenada, MS |
| 1417975731 | Ralph Armstrong | Individual | Family Medicine Physician | Grenada, MS |
Verify this record
Cross-check NPI 1427004704 against the authoritative CMS record: view Mark C Kelley on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-15.