Richard Jean Kelly in Augusta - Pediatric Radiology
Richard Jean Kelly - NPI 1508820424
Richard Jean Kelly is a Pediatric Radiology in Augusta, Georgia. Richard Jean Kelly practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Richard Jean Kelly is 1508820424. The last update date is 2019-04-03.
Richard Jean Kelly's current location address is Po Box 1705, Augusta, Georgia. You can contact this provider via phone number 7067747263 and fax number 7067747230. The mailing address for Richard Jean Kelly is Po Box 1705, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Jean Kelly |
|---|---|
| Address | Po Box 1705, Augusta, Georgia |
| Phone Number | 7067747263 |
| Fax Number | 7067747230 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508820424 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2019-04-03 |
Provider Mailing Address Detail
| Address | Po Box 1705 |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309031705 |
| Phone Number | 7067747263 |
| Fax Number | 7067747230 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 31045 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1265540314 | NPI - BROWN & RADIOLOGY | ||
| 00368618G | GA | -- | |
| 00368618E | GA | -- | |
| 00368618C | GA | -- | |
| 00368618H | GA | -- | |
| 00368618I | GA | -- | |
| 00368618B | GA | -- | |
| 00368618J | GA | -- | |
| 00368618F | GA | -- | |
| 10058872 | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Jean Kelly by the Centers for Medicare & Medicaid Services?
The Richard Jean Kelly has been issued the NPI (National Provider Identifier) 1508820424, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Richard Jean Kelly is physically located?
The Richard Jean Kelly is situated at the following address: Po Box 1705, Augusta, GA 309031705.
What is Richard Jean Kelly's area of expertise and its corresponding taxonomy classification?
The Richard Jean Kelly's field of specialization is Pediatric Radiology, and it falls under the taxonomy code 2085P0229X, which categorizes healthcare providers based on their areas of practice.
On what date did the Richard Jean Kelly receive its 1508820424 assignment from the Centers for Medicare & Medicaid Services?
The Richard Jean Kelly was assigned its 1508820424 by the Centers for Medicare & Medicaid Services on 2006-04-17.
When was the Richard Jean Kelly's information last updated?
The Richard Jean Kelly's information was last updated on 2019-04-03.