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1669589677
RALPH KELLEY
PORTAGEVILLE, MO
NPI
1669589677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: MO 31361)
Enumeration Date
2006-08-24
Last Update Date
2016-12-20
Business Address
-- RALPH KELLEY DO
314 E MAIN ST
PORTAGEVILLE, MO 63873-1616
Phone number: 573-379-3777
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Mailing Address
-- RALPH KELLEY DO
314 E MAIN ST
PORTAGEVILLE, MO 63873-1616
Phone number: 573-379-3777
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