Organization
CHARLES E KELLY II MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E KELLY II MD (OWNER)
(931) 629-9993
Entity
Organization
Contact information
Practice address
2835 HWY 231 N, SUITE 208A, SHELBYVILLE, TN 37160-7327
(931) 231-0559
Mailing address
2835 HWY 231 N, SUITE 208A, SHELBYVILLE, TN 37160-7327
(931) 231-0559
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
TN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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