| NPI | 1902145188 |
|---|---|
| Doing Business As | KEVIN G. KELLY, MD |
| Entity Type | Organization |
| Authorized Contact | KEVIN GERARD KELLY Owner 256-332-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2017-01-18 |