Individual
DR. JAMES E. KELLY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8101 MCCLURE DR STE 301, FORT SMITH, AR 72916-6056
(479) 709-8300
(479) 709-8315
Mailing address
PO BOX 10810, FORT SMITH, AR 72917-0810
(479) 709-8300
(709) 709-8315
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
E0847
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000480A
—
OK
05
—
130121001
—
AR
Enumeration date
03/17/2006
Last updated
01/08/2020
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