Kelly, Richard Jean
Kelly, Richard Jean is an individual health care provider with primary practice located at 840 Stevens Creek Rd , Augusta GA 30907-9251. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Kelly, Richard Jean can be contacted via phone (706) 722-6957.Contact Information
Primary practice address
840 Stevens Creek Rd
Augusta GA 30907-9251
Phone: (706) 722-6957
Fax: (706) 722-7454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 031045 | Georgia |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 031045 | Georgia |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 031045 | Georgia |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 031045 | Georgia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 031045 | Georgia |
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 031045 | Georgia |
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 031045 | Georgia |
Profile Details
NPI number | 1508820424 |
---|---|
LBN Legal business name | Kelly, Richard Jean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Apr 3rd, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508820424 | NPPES |
Other | 1265540314 | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618G | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618E | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618C | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618H | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618I | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618B | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618J | NPI - BROWN & RADIOLOGY | |
MEDICAID | 00368618F | NPI - BROWN & RADIOLOGY | |
Other | 10058872 | NPI - BROWN & RADIOLOGY | |
MEDICAID | 102613 | NPI - BROWN & RADIOLOGY |
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