Individual
FRANK B KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 743-3000
(478) 741-9657
Mailing address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 743-3000
(478) 741-9657
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000180067C
—
GA
01
—
200009711
MEDICARE RAILROAD PTAN
—
Enumeration date
03/24/2006
Last updated
07/15/2010
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