MR. OWEN L KELLY (NPI# 1962461707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962461707 |
| Entity Type | Individual |
| Full Name | MR. OWEN L KELLY |
| Credential | MD |
| Practice Address |
401 N Phoenix Ave Russellville AR 72801-2844 |
| Mailing Address |
Po Box 690 Russellville AR 72811-1146 |
| Practice Telephone | 4798905355 |
| Practice Fax Number | 4798905366 |
| Mailing Telephone | 4798905355 |
| Mailing Fax Number | 4798905366 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | E3477 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 182582002 | 05 |
| Street Address |
401 N PHOENIX AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619297850 | Owen L Kelly Md Pa | Orthopaedic Surgery | 401 N Phoenix Ave, Russellville, AR 72801-2844 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1649387523 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy St Ne, Russellville, AL 35653-1922 | 2006-08-24 |
| 1255345195 | W. Bruce Brown Md, Pa. | Orthopaedic Surgery | 3016 W Main St, Russellville, AR 72801-2453 | 2006-07-28 |
| 1407875453 | Ted Honghiran | Orthopaedic Surgery | 2504 West Main St, Suite A, Russellville, AR 72801-2536 | 2006-07-19 |
| 1154313807 | Lloyd C Dyas | Orthopaedic Surgery | 101 James Hovater Rd, Russellville, AL 35653-8004 | 2005-08-18 |
| 1831181593 | Steve G Salyers | Orthopaedic Surgery | 1623 Nashville St Ste And103, Russellville, KY 42276-8889 | 2005-08-18 |
| 1972508810 | Joseph B Zehner | Orthopaedic Surgery | 1623 Nashville St, Suite 103, Russellville, KY 42276-8889 | 2005-06-16 |
| 1780965335 | Tennessee Orthopaedic Alliance | Orthopaedic Surgery | 1623 Nashville St, Ste 104, Russellville, KY 42276-8889 | 2011-09-08 |
| 1619297850 | Owen L Kelly Md Pa | Orthopaedic Surgery | 401 N Phoenix Ave, Russellville, AR 72801-2844 | 2010-06-10 |
| 1659542082 | Lloyd C Dyas, Md, PC | Orthopaedic Surgery | 101 James Hovater Rd, Russellville, AL 35653-8004 | 2008-03-13 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on MR. OWEN L KELLY.
| 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.