Organization
DAVID R. KELLY, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT KELLY M.D. (PRESIDENT)
(859) 278-8499
Entity
Organization
Contact information
Practice address
1780 NICHOLASVILLE RD, SUITE 201, LEXINGTON, KY 40503-1400
(859) 278-8499
(859) 278-8683
Mailing address
1780 NICHOLASVILLE RD, SUITE 201, LEXINGTON, KY 40503-1400
(859) 278-8499
(859) 278-8683
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
27570
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65944159
—
KY
Enumeration date
01/15/2007
Last updated
12/07/2009
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