Individual
MANUEL R KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 TENNESSEE ST, PINE BLUFF, AR 71601-5801
(870) 543-2380
(870) 535-4716
Mailing address
PO BOX 1285, PINE BLUFF, AR 71613-1285
(870) 543-2380
(870) 535-4716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5328
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120403
UNITED HEALTH CARE
AR
05
—
103173001
—
AR
01
—
1159400000
QUAL CHOICE
AR
01
—
52821
MEDICARE
AR
01
—
C68619
UPIN
AR
Enumeration date
04/21/2006
Last updated
09/29/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us