Richard A Kelly Md, Pa | |
210 Goodman Rd E Southaven MS 38671-9520 | |
(662) 349-2251 | |
Not Available |
Full Name | Richard A Kelly Md, Pa |
---|---|
Speciality | Family Medicine |
Location | 210 Goodman Rd E, Southaven, Mississippi |
Authorized Official Name and Position | Richard Allen Kelly (PRESIDENT) |
Authorized Official Contact | 6623492251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard A Kelly Md, Pa 210 Goodman Rd E Southaven MS 38671-9520 Ph: (662) 349-2251 | Richard A Kelly Md, Pa 210 Goodman Rd E Southaven MS 38671-9520 Ph: (662) 349-2251 |
NPI Number | 1467633651 |
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Provider Enumeration Date | 11/16/2007 |
Last Update Date | 11/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467633651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MS11375 (Mississippi) | Primary |
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