| NPI | 1508491093 |
|---|---|
| Doing Business As | KEVIN G. KELLY, M.D. |
| Doing Business As | RUSSELLVILLE HOSPITAL FAMILY CARE FIRST CLINIC |
| Entity Type | Organization |
| Authorized Contact | ASHOKE MUKHERJI CEO 615-732-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-11-21 |