Richard A Kelly Md, Pa

LBN: Richard A Kelly Md, Pa
Richard A Kelly Md, Pa is an health care organization with primary practice located at 210 Goodman Rd E , Southaven MS 38671-9520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Richard A Kelly Md, Pa can be contacted via phone (662) 349-2251, or through Kelly, Richard Allen via phone (662) 349-2251.

Contact Information

Primary practice address
210 Goodman Rd E Southaven MS 38671-9520
Phone: (662) 349-2251
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Richard Allen Doctor of Medicine (MD)
Phone: (662) 349-2251

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MS11375 Mississippi

Profile Details

NPI number 1467633651
LBN Legal business name Richard A Kelly Md, Pa
DBA Doing business as
Authorized official Kelly, Richard Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 17 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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