Kenneth Kellough, M.D

ActiveIndividual ProviderInternal Medicine
NPI issued: June 4, 2006

Quick Facts

NPI Number
1609815000
TypeIndividual
StatusActive
SpecialtyInternal Medicine
Taxonomy207R00000X — Internal Medicine
Phone
(662) 621-2192
StateMS

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1609815000)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 4, 2006)
Data source: CMS NPPES

Provider Overview

KENNETH KELLOUGH, M.D is a Internal Medicine provider based in Clarksdale, MS who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1609815000
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateJune 4, 2006

Practice Location

CityClarksdale
StateMS
ZIP Code38614-6519
Phone(662) 621-2192

Specialties & Licenses

★ Primary
SpecialtyInternal Medicine
Taxonomy Code207R00000X
License StateMS

Mailing Address

CityClarksdale
StateMS
ZIP Code38614-6519
Phone(662) 621-2192
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1609815000 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1609815000for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1609815000 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

Browse all Internal Medicineproviders →
📊
213,549
Internal Medicine Providers in the US

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People Also Ask

What is Kenneth Kellough's NPI number?
Kenneth Kellough's NPI number is 1609815000, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kenneth Kellough's NPI currently active?
Yes, Kenneth Kellough's NPI status is Active as of the latest CMS NPPES database updates.
What does Kenneth Kellough specialize in?
Kenneth Kellough specializes in Internal Medicine. The healthcare taxonomy code associated with this specialty is 207R00000X.
Where does Kenneth Kellough practice?
Kenneth Kellough practices in Clarksdale, MS 38614-6519.
When was Kenneth Kellough's NPI issued?
Kenneth Kellough's NPI was issued on June 4, 2006.
What is Kenneth Kellough's provider type?
Kenneth Kellough is registered as an Individual Provider under CMS NPI Type 1.