Individual
CHARLES E KELLY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2839 HWY 231 NORTH, SUITE 208A, SHELBYVILLE, TN 37160-7449
(931) 685-8783
(931) 685-8784
Mailing address
2839 HWY 231 NORTH, SUITE 208A, SHELBYVILLE, TN 37160-7449
(931) 685-8783
(931) 685-8784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40151
TN
207RG0100X
Gastroenterology Physician
Primary
40151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3334724
—
TN
Enumeration date
09/02/2005
Last updated
03/13/2009
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