| Kevin G. Kelly, Md | |
|
13150 Highway 43 Suite 10 Russellville AL 35653-4558 | |
| (256) 332-5901 | |
| (256) 332-6911 |
| Full Name | Kevin G. Kelly, Md |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 13150 Highway 43, Russellville, Alabama |
| Authorized Official Name and Position | Kevin Gerard Kelly (OWNER) |
| Authorized Official Contact | 2563325901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G. Kelly, Md 13150 Highway 43 Suite 10 Russellville AL 35653-4558 Ph: (256) 332-5901 | Kevin G. Kelly, Md 13150 Highway 43 Suite 10 Russellville AL 35653-4558 Ph: (256) 332-5901 |
| NPI Number | 1902145188 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902145188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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