Individual
DR. RUSSELL PHELPS KELLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 689-9500
(877) 880-2039
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1018091
MA
2085R0202X
Diagnostic Radiology Physician
2024-03651
NC
2085R0202X
Diagnostic Radiology Physician
A135999
CA
2085R0202X
Diagnostic Radiology Physician
S3004
TX
Other
Enumeration date
06/11/2013
Last updated
12/20/2024
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