# DR. RICHARD JEAN KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508820424
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | 031045 | GA | — |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | 031045 | GA | — |
| 2085N0700X | Neuroradiology Physician | 031045 | GA | — |
| 2085N0904X | Nuclear Radiology Physician | 031045 | GA | Yes |
| 2085P0229X | Pediatric Radiology Physician | 031045 | GA | — |
| 2085R0202X | Diagnostic Radiology Physician | 031045 | GA | — |
| 2085U0001X | Diagnostic Ultrasound Physician | 031045 | GA | — |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 04/03/2019