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1962461707
OWEN L KELLY
RUSSELLVILLE, AR
NPI
1962461707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: AR E3477)
Enumeration Date
2006-03-21
Last Update Date
2023-08-22
Business Address
Mr. OWEN L KELLY MD
401 N PHOENIX AVE
RUSSELLVILLE, AR 72801-2844
Phone number: 479-890-5355
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Mailing Address
Mr. OWEN L KELLY MD
PO BOX 690
RUSSELLVILLE, AR 72811-1146
Phone number: 479-890-5355
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