Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Delta Medicine Clinic P A

Organization Internal Medicine Physician · NPI 1780778571

North Delta Medicine Clinic P A provides Internal Medicine Physician services in Clarksdale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

705 N State St
Clarksdale, MS 38614-6519 Not confirmed with CMS for 16 years — call before visiting
Phone: (662) 621-2192
Fax: (662) 621-2314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16776 (MS)

Record details

NPI number1780778571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Kellough — Owner · (662) 621-2192
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 3, 2009
Mailing addressPo Box 1930, Clarksdale, MS 38614-7930

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