Kelly, Richard Allen
Kelly, Richard Allen is an individual health care provider with primary practice located at 210 Goodman Rd E , Southaven MS 38671-9520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, Richard Allen can be contacted via phone (662) 349-2251.Contact Information
Primary practice address
210 Goodman Rd E
Southaven MS 38671-9520
Phone: (662) 349-2251
Fax: (662) 349-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11375 | Mississippi |
Profile Details
| NPI number | 1447264643 |
|---|---|
| LBN Legal business name | Kelly, Richard Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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