NPI 1467633651

Richard a Kelly MD, PA

Organisation Family Medicine Physician Southaven, MS

Practice location

Address: 210 Goodman Rd E, Southaven, MS 38671-9520
Phone: (662) 349-2251

Authorised official

Name: Richard Allen Kelly
Title: President
Phone: (662) 349-2251

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MS11375 (MS)

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1467633651
Entity type: Organization
NPI issued: 16 Nov 2007
Record last updated: 16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.