Individual provider · Type 1 NPI
Ralph Kelley, DO
Adult Medicine Physician · Portageville, MO
NPI number
1669589677
Active
Practice location
314 E Main St
Portageville, MO 63873-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 31361 (MO) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
4 other providers at this address
- Health Facilities Rehab Services IncRehabilitation Clinic/Center Portageville, MO NPI 1194093526
- Pemiscot County Memorial HospitalRural Health Clinic/Center Portageville, MO NPI 1699873372
- Southeast Missouri Health NetworkFederally Qualified Health Center (FQHC) Portageville, MO NPI 1780803916
- Dennis Reed, PAPhysician Assistant Portageville, MO NPI 1629115670
About NPI 1669589677
Ralph Kelley, DO's National Provider Identifier is 1669589677, issued on Aug 24, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Portageville, MO. The record was last updated on Dec 20, 2016.