CHARLES KELLY

FULTON, MS
NPI1104895267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  15058)
Enumeration Date2006-03-14
Last Update Date2011-03-08
Business Address
-- CHARLES KELLY D.O.
1 MEDICAL PARK DR
FULTON, MS 38843-9001
Phone number: 662-862-5200
Mailing Address
-- CHARLES KELLY D.O.
1 MEDICAL PARK DR
FULTON, MS 38843-9001
Phone number: 662-862-5200
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