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RALPH KELLEY DO
NPI 1669589677
Family Medicine - Adult Medicine in Portageville, MO

Active since August 24, 2006
314 E MAIN ST, PORTAGEVILLE, MO 63873(573) 379-3777 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2016, Dec 16, 2016 (2 updates tracked since 2016).

About Ralph Kelley Do NPPES

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

RALPH KELLEY DO (NPI 1669589677) is an individual adult medicine provider in Portageville, Missouri, licensed in Missouri (31361) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1669589677
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameRALPH KELLEYCredential: DO
Location Address314 E MAIN STPortageville, MO 63873-1616
Mailing Address314 E Main StPortageville, MO 63873-1616 · (573) 379-3777
Phone(573) 379-3777
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 20, 20162 updates tracked since enumeration
✔ NPI 1669589677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MO · 31361
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

314 E MAIN ST, Portageville, MO 63873
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Other Identifiers 3

Medicaid241143213MO
Medicare ID-Type Unspecified000095621MO
Medicare UPINC51993MO

Other Providers at the Same Location NPPES 4

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

HEALTH FACILITIES REHAB SERVICES INC
Clinic/Center (Rehabilitation)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-2833
MR. DENNIS REED PA
Physician Assistant
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777
PEMISCOT COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777
SOUTHEAST MISSOURI HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5929

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 Ralph Kelley's NPI number?

The NPI number for Ralph Kelley is 1669589677. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Ralph Kelley located?

Ralph Kelley practices at 314 E Main St, Portageville, MO 63873. The listed phone number is (573) 379-3777.

What is Ralph Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Ralph Kelley was last updated on December 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.