Individual
RICHARD L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3815 E BELL RD, SUITE 4100, PHOENIX, AZ 85032-2122
(602) 494-5040
(602) 494-4020
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3838
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20150
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054750
—
AZ
01
—
110222435
RAILROAD MEDICARE
—
Enumeration date
07/26/2005
Last updated
04/18/2019
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