Whalio Doctors

NPI 1962461707

Owen L Kelly, MD

Practitioner Orthopaedic Surgery Physician Russellville, AR

Practice location

Address
401 N Phoenix Ave, Russellville, AR 72801-2844
Phone
(479) 890-5355
Fax
(479) 890-5366
Mailing address
PO Box 690, Russellville, AR 72811-1146

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence E3477 (AR)

Registry record

NPI
1962461707
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Mar 2006
Record last updated
22 Aug 2023

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.