DR. RICHARD ALLEN KELLY (NPI# 1447264643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447264643 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ALLEN KELLY |
| Credential | M.D. |
| Practice Address |
210 Goodman Rd E Southaven MS 38671-9520 |
| Practice Telephone | 6623492251 |
| Practice Fax Number | 6623492602 |
| Mailing Telephone | 6623492251 |
| Mailing Fax Number | 6623492602 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11375 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283608 | Richard Kelly | Home Health Aide | 9115 Ridge Blvd Apt 4b, Brooklyn, NY 11209-5724 | 2017-09-08 |
| 1295882801 | Richard Edward Kelly | Counselor | 2045 Potts Point Rd, Huntingtown, MD 20639-8202 | 2007-01-04 |
| 1235201104 | Richard J Kelly | Social Worker | 1311union Street Union Counseling Services, Schenectady, NY 12308 | 2006-11-15 |
| 1467537316 | Richard K Kelly | Chiropractor | 39 Sawasett Avenue, Bridgehampton, NY 11932 | 2006-10-26 |
| 1275199069 | Richard Tyler Kelly | Counselor | 2623 5th St N, Columbus, MS 39705-2009 | 2019-05-16 |
| 1902350978 | Richard A Kelly | Counselor | 477 E Butterfield Rd, Lombard, IL 60148-5618 | 2016-08-08 |
| 1801960026 | Richard R Kelly | Occupational Therapist | 966 N Garden Ridge, Suite 530, Lewisville, TX 75077 | 2006-11-20 |
| 1831118264 | Richard P Kelly | Family Medicine | 80 Templeton Dr, Oswego, IL 60543-7000 | 2006-07-18 |
| 1023036431 | Richard Amadeus Kelly | Chiropractor | 730 Parkwood Dr, Cranberry Twp, PA 16066-6312 | 2006-07-17 |
| 1114969961 | Richard Lance Kelly | Physical Therapist | 3075 Tower Rd, Columbus, GA 31904 | 2006-06-12 |
| Street Address |
210 GOODMAN RD E |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467633651 | Richard A Kelly Md, Pa | Family Medicine | 210 Goodman Rd E, Southaven, MS 38671-9520 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891352514 | Linda A Foster Md PC | Family Medicine | 7900 Airways Blvd Bldg C1, Southaven, MS 38671-4114 | 2019-05-29 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1518270636 | Madiha Dar Haji | Family Medicine | 7736 Airways Boulevard, Southaven, MS 38671 | 2010-07-18 |
| 1982936126 | Sunil Malhotra | Family Medicine | 470 Goodman Rd E, Southaven, MS 38671-9557 | 2010-02-12 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1700088085 | Kallol Kumar Saha | Family Medicine | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2007-05-31 |
| 1013039288 | Carnahan Clinic Pllc | Family Medicine | 7900 Airways Blvd Bldg A Ste 6, Southaven, MS 38671-4113 | 2007-04-06 |
| 1083776116 | Edward Arnold Steward | Family Medicine | 1669 Main St Ste A, Southaven, MS 38671-1223 | 2006-12-14 |
| 1093887945 | Gary Dwain Carr | Family Medicine | 5699 Getwell Rd Ste 1, Southaven, MS 38672-7312 | 2006-11-15 |
| 1588743314 | Patrick Andrew Ball | Family Medicine | 7736 Airways Blvd., Southaven, MS 38671-5306 | 2006-11-03 |
| Find all providers in SOUTHAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.