RICHARD A KELLY MD PA NPI 1467633651

NPI Information

RICHARD A KELLY MD, PA is a family medicine in Southaven, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RICHARD A KELLY MD, PA NPI is 1467633651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 GOODMAN RD E
SOUTHAVEN, MS
ZIP 38671-520
Phone: (662) 349-2251

The provider's authorized official is Richard Allen Kelly .
The authorized official title is President and has the following contact phone number (662) 349-2251.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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