Individual
MR. NATHANIEL JUSTIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SW RAMSEY, GRANTS PASS, OR 97527
(541) 472-7000
(513) 686-6868
Mailing address
500 SW RAMSEY, GRANTS PASS, OR 97527
(541) 472-7000
(513) 686-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD209942
OR
Other
Enumeration date
04/16/2019
Last updated
10/18/2022
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