Provider Demographics
NPI:1366706772
Name:BELL, KEISHA MONIQUE (MD)
Entity type:Individual
Prefix:
First Name:KEISHA
Middle Name:MONIQUE
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2500 N STATE STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-5306
Mailing Address - Fax:601-984-6904
Practice Address - Street 1:2055 W FRYE RD STE 9
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6277
Practice Address - Country:US
Practice Address - Phone:480-821-3600
Practice Address - Fax:480-821-3610
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2017-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS25075207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology