Individual
REBECCA B KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 682-5588
(573) 682-1539
Mailing address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 582-5588
(573) 682-1539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106418
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208727727
—
MO
01
—
263971
RURAL HEALTHCARE CLINIC
—
Enumeration date
11/10/2005
Last updated
12/01/2022
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