Kevin G. Kelly, M.D.

LBN: Kevin G. Kelly, M.D.
Kevin G. Kelly, M.D. is an health care organization with primary practice located at 13150 Highway 43 Suite 10, Russellville AL 35653-4558. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kevin G. Kelly, M.D. can be contacted via phone (256) 332-5901, or through Kelly, Kevin G. via phone (256) 332-5901.

Contact Information

Primary practice address
13150 Highway 43 Suite 10 Russellville AL 35653-4558
Phone: (256) 332-5901
Fax: (256) 332-6911
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Kevin G. Doctor of Medicine (MD)
Phone: (256) 332-5901

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8497 Alabama

Profile Details

NPI number 1770887945
LBN Legal business name Kevin G. Kelly, M.D.
DBA Doing business as
Authorized official Kelly, Kevin G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770887945 NPPES
Alabama MEDICAID 000001253

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