Kevin Gerard Kelly

NPI #1710972385 in Russellville, Alabama

Provider Information

NPI Number
1710972385
Entity Type
Individual
Name
Kevin Gerard Kelly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Enumeration Date
Sep 20, 2005
Last Updated
Mar 28, 2014

Practice Location

Address
13150 HIGHWAY 43
Address 2
SUITE 10
State
Alabama
ZIP Code
35653-4558
Phone
(256) 332-5901

Specialties & Taxonomy Codes

Specialty
Family Medicine

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