Owen L Kelly Md Pa in Russellville AR

Owen L Kelly Md Pa is an orthopedic surgery with a current address of 401 N Phoenix Ave Russellville AR 72801-2844. The NPI is 1619297850, and the license number is E3477 (AR). It was issued on október 6, 2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 12/23/2011.

 

Owen L Kelly Md Pa can be reached by phone at 4798905355, by mail at 401 North Phoenix Ave Russellville AR 72801-1146, or by fax at 4798905366.

 

Owen Kelly (Md) is the authorized representative of the organization and can be reached at this phone number: 4798905355.

Name: Owen L Kelly Md Pa

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Owen Kelly

Authorized Title/Position: Md

Contact Number: 4798905355

 

Practice Location Address:

401 N Phoenix Ave

Russellville

AR 72801-2844

Telephone Number: 4798905355

Fax Number: 4798905366

Mailing Address:

401 North Phoenix Ave

Russellville

AR 72801-1146

Telephone Number: 4798905355

Fax Number: 4798905366

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1619297850

Enumeration Date: október 6, 2010

Last Update: 12/23/2011

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number: E3477

License State: AR

 

Taxonomy Group: 193400000x Single Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 182582002

Code Type: 5

Identifier State: AR

Identifier Issuer:

 

Other Identifiers (if any):