Ralph Kelley DO

NPI 1669589677 - Family Medicine - 207QA0505X

NPI Details
NPI 1669589677
Gender Male
Enumeration Date 08/24/2006
Last Updated 03/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
712 N US HIGHWAY 61
PORTAGEVILLE MO, 63873-1516, US
Phone (573) 379-3777
Fax (573) 379-3777
Business Location
712 N US HIGHWAY 61
PORTAGEVILLE MO, 63873-1516, US
Phone (573) 379-3777
Fax (573) 379-3777
Toxanomy
Taxonomy Code 207QA0505X
License State Missouri
License Number 31361
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According to our database, Ralph Kelley DO NPI is 1669589677, taxonomy code is 207QA0505X and license number is 31361, license state is located at Missouri. Ralph Kelley DO physically located at 712 N Us Highway 61, Portageville MO, 63873-1516. NPI Number Ralph Kelley DO has the Individual type.

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1669589677 NPI number is provided on an as is basis without warranty of any kind. 1669589677 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph Kelley DO are for informational purposes only.