Ralph Kelley is a Adult Medicine in Portageville, Missouri. Ralph Kelley practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Ralph Kelley is 1669589677. The last update date is 2016-12-20.
Ralph Kelley's current location address is 314 E Main St, Portageville, Missouri. You can contact this provider via phone number 5733793777. The mailing address for Ralph Kelley is 314 E Main St, Portageville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ralph Kelley |
|---|---|
| Address | 314 E Main St, Portageville, Missouri |
| Phone Number | 5733793777 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1669589677 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2016-12-20 |
Provider Mailing Address Detail
| Address | 314 E Main St |
|---|---|
| City | Portageville |
| State | Missouri (MO) |
| Post Code | 638731616 |
| Phone Number | 5733793777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 31361 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 241143213 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ralph Kelley by the Centers for Medicare & Medicaid Services?
The Ralph Kelley has been assigned the NPI (National Provider Identifier) 1669589677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ralph Kelley is geographically located?
The Ralph Kelley is physically situated at the following location: 314 E Main St, Portageville, MO, 638731616.
What is Ralph Kelley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ralph Kelley's area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669589677 to Ralph Kelley?
The Centers for Medicare & Medicaid Services originally issued the 1669589677 to Ralph Kelley on 2006-08-24.
As of what date were the details pertaining to Ralph Kelley last refreshed?
The information related to the Ralph Kelley, including its address, specialty, and other relevant details, was last updated on 2016-12-20.
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