Organization
KEVIN GERARD KELLY
Active
Other names
Kevin G. Kelly, MD
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GERARD KELLY M.D. (OWNER)
(256) 332-5901
Entity
Organization
Contact information
Practice address
13150 HIGHWAY 43, SUITE 10, RUSSELLVILLE, AL 35653-4558
(256) 332-5901
(256) 332-6911
Mailing address
13150 HIGHWAY 43, SUITE 10, RUSSELLVILLE, AL 35653-4558
(256) 332-5901
(256) 332-6911
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
01/18/2017
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