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Ralph Kelley, DO
Adult Medicine Physician in Portageville, Missouri
NPI 1669589677

Ralph Kelley is an Adult Medicine Physician based in Portageville, MO and is specialized in Adult Medicine. Ralph Kelley practices in Portageville, MO and has the professional credentials of DO. The NPI Number for Ralph Kelley is 1669589677 and holds a License No. 31361 (Missouri).

The current practice location address for Ralph Kelley is 314 E Main St, Portageville, MO and can be reached out via phone at 573-379-3777.

Location: 314 E Main St, Portageville, MO, 63873-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669589677
Provider Name
Ralph Kelley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
314 E Main St, Portageville, MO, 63873-1616
Phone Number
573-379-3777
Fax Number
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
241143213 05 MO
institution
Provider Business Practice Location Address Details
Address
314 E Main St
City
Portageville
State
Missouri
Zip
63873-1616
Phone Number
573-379-3777
Fax Number
person
Provider Business Mailing Address Details
Address
314 E Main St
City
Portageville
State
Missouri
Zip
63873-1616
Phone Number
573-379-3777
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
31361 (Missouri)
Definition
Definition to come.
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