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RICHARD A KELLY MD, PA
NPI 1467633651
Family Medicine in Southaven, MS

Active since November 16, 2007
210 GOODMAN RD E, SOUTHAVEN, MS 38671(662) 349-2251 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard A Kelly Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD A KELLY MD, PA (NPI 1467633651) is a healthcare organization registered as a family medicine in Southaven, Mississippi and active in the NPI registry since November 2007. The organization lists Richard Allen Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1467633651
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRICHARD A KELLY MD, PA
Location Address210 GOODMAN RD ESouthaven, MS 38671-9520
Mailing Address210 Goodman Rd ESouthaven, MS 38671-9520 · (662) 349-2251
Phone(662) 349-2251
Organization SubpartNo
Authorized OfficialRichard Allen KellyPresident · (662) 349-2251
Enumeration DateNovember 16, 2007
✔ NPI 1467633651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · MS11375
Definition
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.
210 GOODMAN RD E, Southaven, MS 38671
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Other Identifiers 1

Medicare PIN080001111MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD ALLEN KELLY M.D.
Family Medicine
210 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 349-2251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard A Kelly MD, PA's NPI number?

The NPI number for Richard A Kelly MD, PA is 1467633651. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Richard A Kelly MD, PA located?

Richard A Kelly MD, PA is located at 210 Goodman Rd E, Southaven, MS 38671. The listed phone number is (662) 349-2251.

What is Richard A Kelly MD, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Richard A Kelly MD, PA was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.