# RICHARD A KELLY MD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1467633651
- **Authorized official:** DR. RICHARD ALLEN KELLY MD (PRESIDENT)
- **Authorized official phone:** (662) 349-2251

## Contact information

- **Practice address:** 210 GOODMAN RD E, SOUTHAVEN, MS 38671-9520
- **Practice address phone:** (662) 349-2251
- **Mailing address:** 210 GOODMAN RD E, SOUTHAVEN, MS 38671-9520
- **Mailing address phone:** (662) 349-2251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MS11375 | MS | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 11/16/2007