RALPH KELLEY

PORTAGEVILLE, MO
NPI1669589677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: MO  31361)
Enumeration Date2006-08-24
Last Update Date2016-12-20
Business Address
-- RALPH KELLEY DO
314 E MAIN ST
PORTAGEVILLE, MO 63873-1616
Phone number: 573-379-3777
Mailing Address
-- RALPH KELLEY DO
314 E MAIN ST
PORTAGEVILLE, MO 63873-1616
Phone number: 573-379-3777