RALPH KELLEY (NPI# 1669589677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669589677 |
| Entity Type | Individual |
| Full Name | RALPH KELLEY |
| Credential | DO |
| Practice Address |
314 E Main St Portageville MO 63873-1616 |
| Practice Telephone | 5733793777 |
| Mailing Telephone | 5733793777 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
31361 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 241143213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538369384 | Ralph Zane Kelley | Surgery | 77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 | 2007-07-20 |
| 1366455479 | Ralph R Kelley | Pharmacist | 210 Center St, Ironton, OH 45638-1501 | 2006-08-14 |
| Street Address |
314 E MAIN ST |
| City | PORTAGEVILLE |
| State | MO |
| Zip Code | 63873-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194093526 | Health Facilities Rehab Services Inc | Clinic/Center | 314 E Main St, Portageville, MO 63873-1616 | 2011-12-13 |
| 1780803916 | Southeast Missouri Health Network | Clinic/Center | 314 E Main St, Portageville, MO 63873-1616 | 2007-04-25 |
| 1629115670 | Dennis Reed | Physician Assistant | 314 E Main St, Portageville, MO 63873-1616 | 2007-01-31 |
| 1699873372 | Pemiscot County Memorial Hospital | Clinic/Center | 314 E Main St, Portageville, MO 63873-1616 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801158357 | Mindy Leigh French | Speech-Language Pathologist | 100 W 12th St, Portageville, MO 63873-1036 | 2012-06-11 |
| 1689299372 | Life Continues LLC | Community/Behavioral Health | 412 W 5th St, Portageville, MO 63873-1108 | 2020-06-09 |
| 1558574988 | Lee Kellams | Speech-Language Pathologist | 500 W 5th St, Portageville, MO 63873-1147 | 2007-05-08 |
| 1902910300 | Mary Samples | Speech-Language Pathologist | 904 King Ave, Portageville, MO 63873-1378 | 2006-08-19 |
| 1093858714 | Portageville School District | Local Education Agency (LEA) | 904 King Ave, Portageville, MO 63873-1378 | 2007-02-14 |
| 1871593905 | Lorna A Turnage | Clinic/Center | 203 E 3rd St, Portageville, MO 63873-1401 | 2005-07-29 |
| 1730622697 | Lorna Turnage | Family Medicine | 203 E 3rd St, Portageville, MO 63873-1401 | 2016-11-28 |
| 1841465671 | A Plus Family Clinic | Family Medicine | 203 E 3rd St, Portageville, MO 63873-1401 | 2008-04-23 |
| 1518968296 | Lorna Turnage | Family Medicine | 203 E 3rd St, Portageville, MO 63873-1401 | 2005-08-03 |
| 1053307975 | Andrew Ernest Painter | Family Medicine | 204 E 3rd St, Portageville, MO 63873-1402 | 2005-09-26 |
| Find all providers in zip 63873 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728207 | Bryanna Scherer | Family Medicine | 961 Weatherstone Dr, Saint Charles, MO 63304-4520 | 2020-10-20 |
| 1689210924 | Jenna Matthews | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2019-11-21 |
| 1396210852 | Catholic Charities of St. Louis | Family Medicine | 10120 Crest Rd., St. Joachim Catholic Church-attn: Rural Parish Clinic, Cadet, MO 63630 | 2018-10-10 |
| 1437686508 | Paul Anthony Williams Jr. | Family Medicine | 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 | 2017-05-18 |
| 1548516685 | John Jung | Family Medicine | 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 | 2012-07-26 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1245494665 | Jeffrey A Wool | Family Medicine | 1531 E 32nd St, Suite 1a, Joplin, MO 64804-2925 | 2008-07-15 |
| 1245407543 | Harry D Haas | Family Medicine | 16703 N Calico Rd, Versailles, MO 65084-6434 | 2008-05-15 |
| 1194902510 | Gary Hubert Campbell | Family Medicine | 21 Conway Springs Dr, Chesterfield, MO 63017-3411 | 2008-01-28 |
| 1568596336 | Mahrukh Khan | Family Medicine | 7491 Big Bend Blvd., St. Louis, MO 63119 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | PORTAGEVILLE |
| Zip Code | 63873 |
Please comment or provide details below to improve the information on RALPH KELLEY.
| 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.