# CHARLES E KELLY II MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457508160
- **Authorized official:** CHARLES E KELLY II MD (OWNER)
- **Authorized official phone:** (931) 629-9993

## Contact information

- **Practice address:** 2835 HWY 231 N, SUITE 208A, SHELBYVILLE, TN 37160-7327
- **Practice address phone:** (931) 231-0559
- **Mailing address:** 2835 HWY 231 N, SUITE 208A, SHELBYVILLE, TN 37160-7327
- **Mailing address phone:** (931) 231-0559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | TN | Yes |

## Other

- **Enumeration date:** 08/25/2008
- **Last updated:** 08/25/2008