Individual
MR. RICHARD D KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3326 FRONT ST, WINNSBORO, LA 71295-6487
(318) 435-7333
(318) 435-9061
Mailing address
PO BOX 1350, WINNSBORO, LA 71295-1350
(318) 435-7333
(318) 435-9061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10728
LA
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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