Individual
DR. SCOTT MATTHEW KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 HIGHWAY 49 S STE 4, RICHLAND, MS 39218-9425
(601) 932-6400
(601) 932-6437
Mailing address
PO BOX 180367, RICHLAND, MS 39218-0367
(601) 932-6400
(601) 932-6437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13772
MS
Other
Enumeration date
08/18/2006
Last updated
04/19/2011
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