Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RALPH KELLEY, DO
Active Sole ProprietorRALPH KELLEY, DO is a Adolescent Medicine healthcare provider located in PORTAGEVILLE, Missouri. NPI 1669589677 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · PORTAGEVILLE, MO
Registration Details
- NPI Number
- 1669589677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.994560578107 yrs)
- Last Updated
- Dec 20, 2016
- License
-
31361 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
314 E MAIN STPORTAGEVILLE, MO, 638731616Browse MO providers · Browse ZIP 63873
- Phone
- 5733793777
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.