NPI:
1902145188
Provider Name:
KEVIN GERARD KELLY
Doing Business As: KEVIN G. KELLY, MD
Classification:
Clinic/Center - 261QR1300X
Entity Type:
Organization
Specialization: Rural Health
Address:
13150 HIGHWAY 43
SUITE 10
RUSSELLVILLE, AL
ZIP 35653
Phone:
(256) 332-5901
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KEVIN GERARD KELLY is a rural health clinic center in Russellville, AL. KEVIN GERARD KELLY NPI is 1902145188. The provider is registered as an organization entity type.
The provider Is Doing Business As Kevin G. Kelly, Md.
The provider's business location address is:
13150 HIGHWAY 43
SUITE 10
RUSSELLVILLE, AL
ZIP 35653-558
Phone: (256) 332-5901
Fax: (256) 332-6911
The provider's authorized official is Kevin Gerard Kelly .
The authorized official title is Owner and has the following contact phone number (256) 332-5901.
The enumeration date for this NPI number is 2/7/2013 and was last updated on 1/18/2017.