OWEN L KELLY MD PA
NPI 1619297850
Orthopaedic Surgery in Russellville, AR

Active since June 10, 2010
401 N PHOENIX AVE, RUSSELLVILLE, AR 72801(479) 890-5355(479) 890-5366 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Owen L Kelly Md Pa NPPES

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

OWEN L KELLY MD PA (NPI 1619297850) is a healthcare organization registered as an orthopaedic surgery in Russellville, Arkansas and active in the NPI registry since June 2010. The organization lists Owen L Kelly, Md, as its authorized official.

NPPES Registry Identity

NPI1619297850
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameOWEN L KELLY MD PA
Location Address401 N PHOENIX AVERussellville, AR 72801-2844
Mailing Address401 North Phoenix AveRussellville, AR 72801-1146 · (479) 890-5355 · Fax (479) 890-5366
Fax(479) 890-5366
Organization SubpartNo
Authorized OfficialOwen L KellyMd · (479) 890-5355
Enumeration DateJune 10, 2010
Last NPPES UpdateDecember 23, 2011
NPI 1619297850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AR · E3477
Definition

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.

401 N PHOENIX AVE, Russellville, AR 72801

Other Identifiers 2

Medicaid182582002AR
Medicare UPIN5G571AR

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
401 N PHOENIX AVE
RUSSELLVILLE, AR 72801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619297850, enumerated as an "organization" on June 10, 2010.

The provider is located at 401 N PHOENIX AVE RUSSELLVILLE, AR 72801 and the phone number is (479) 890-5355.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.