NPI 1962461707
Owen L Kelly, MD
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
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.