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Individual

DR. RICHARD MCKELVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-6510
(479) 754-5644
Mailing address
PO BOX 440, CLARKSVILLE, AR 72830-0440
(479) 754-6510
(479) 754-5644

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C4341
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100921001
AR
01
53559
BCBS OF ARKANSAS
AR
Enumeration date
06/22/2006
Last updated
07/08/2007
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