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Deactivated NPI 1407171663 Deactivated / Inactive NPI Female Practitioner

Kelley Michele Holliday , RT(R)(CT)

Radiologic Technologist - Computed Tomography • Southaven, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelley Holliday has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 31, 2010
NPI Deactivation Date January 19, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Kelley Holliday, RT(R)(CT) was a registered Radiologic Technologist - Computed Tomography practicing in Southaven, MS. Throughout an active medical career spanning 12 years, Kelley Holliday provided care at the practice location at 5437 GIBBONS CV until profile deactivation on 2022-01-19.

Practice Location & Contact Primary Location

Practice Address

5437 Gibbons Cv

Southaven, MS 386718435

Telephone 9013559112

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist - Computed Tomography in Southaven, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Southaven, MS (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist - Computed Tomography Primary Specialty

NUCC Taxonomy Code: 2471C3401X

State License None 225317

A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 19, 2022

Record deactivated on January 19, 2022

NPI Profile Active March 31, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2010

Registered at 5437 GIBBONS CV, SOUTHAVEN, MS 386718435 (Tel: 9013559112)

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Updated Business Mailing Address March 31, 2010

Registered at 5437 GIBBONS CV, SOUTHAVEN, MS 386718435 (Tel: 9013559112)

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Provider Name / Credentials Updated March 31, 2010

Recorded as KELLEY HOLLIDAY, RT(R)(CT)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2010

Radiologic Technologist (License #225317 in None)

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Initial NPI Registration & Enumeration March 31, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407171663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2010
Last Update: March 31, 2010
Deactivation Date: January 19, 2022

Mailing Address

5437 Gibbons Cv

Southaven, MS 386718435

Phone: 9013559112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.