Individual
DR. ROBERT A. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Mailing address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
034872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000516447B
—
GA
05
—
000516447M
—
GA
05
—
000516447N
—
GA
05
—
000516447O
—
GA
Enumeration date
10/03/2005
Last updated
09/12/2016
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